Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.65 / $5,128.00 / $21,917.86	Facility		$792.65	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $395.96 / $545.89 / $1,167.83	Professional		$395.96	$545.89	$1,167.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,623.53 / $9,172.83 / $20,286.13	Facility		$3,623.53	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $596.47 / $929.50 / $4,616.50	Professional		$596.47	$929.50	$4,616.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.81 / $772.86 / $1,318.00	Professional		$437.81	$772.86	$1,318.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $425.43 / $872.48 / $3,280.24	Facility		$425.43	$872.48	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $402.38 / $862.75 / $2,824.57	Professional		$402.38	$862.75	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $356.82 / $939.19	Professional		$71.70	$356.82	$939.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.26 / $794.62 / $871.00	Facility		$575.26	$794.62	$871.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.69 / $594.10 / $2,961.46	Facility		$571.69	$594.10	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.60 / $929.50 / $1,179.23	Professional		$653.60	$929.50	$1,179.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $845.62 / $1,128.16	Professional		$583.04	$845.62	$1,128.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.39 / $702.52 / $1,237.76	Professional		$504.39	$702.52	$1,237.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.92 / $361.92 / $475.75	Professional		$361.92	$361.92	$475.75