Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.67 / $9,095.84 / $18,711.00	Facility		$533.67	$9,095.84	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.46 / $584.19 / $1,804.00	Professional		$387.46	$584.19	$1,804.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $582.22 / $7,547.82 / $15,403.47	Facility		$582.22	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $388.48 / $646.16 / $646.16	Facility	AS	$388.48	$646.16	$646.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $599.29 / $972.01 / $3,728.40	Professional		$599.29	$972.01	$3,728.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.36 / $754.05 / $1,280.75	Professional		$424.36	$754.05	$1,280.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $449.50 / $917.59 / $2,496.58	Facility		$449.50	$917.59	$2,496.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.78 / $887.26 / $2,149.79	Professional		$429.78	$887.26	$2,149.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $407.19 / $893.89	Professional		$75.37	$407.19	$893.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $612.50 / $806.01 / $853.58	Facility		$612.50	$806.01	$853.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.16 / $582.22 / $2,218.36	Facility		$567.16	$582.22	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.90 / $926.48 / $1,155.65	Professional		$647.90	$926.48	$1,155.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $578.41 / $828.71 / $1,109.68	Professional		$578.41	$828.71	$1,109.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.90 / $669.66 / $1,198.90	Professional		$508.90	$669.66	$1,198.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $355.30 / $355.30 / $457.79	Professional		$355.30	$355.30	$457.79