Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.11 / $2,769.52 / $18,711.00	Facility		$844.11	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.52 / $584.66 / $1,250.33	Professional		$408.52	$584.66	$1,250.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,546.59	Facility		$2,961.46	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $651.03 / $1,051.68 / $4,031.25	Professional		$651.03	$1,051.68	$4,031.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,740.43	Facility		$466.83	$568.48	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.70 / $823.03 / $1,402.37	Professional		$468.70	$823.03	$1,402.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $467.19 / $958.55 / $3,280.24	Facility		$467.19	$958.55	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.61 / $933.07 / $2,824.57	Professional		$434.61	$933.07	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.29 / $917.26	Professional		$73.20	$287.29	$917.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $623.07 / $850.13 / $927.28	Facility		$623.07	$850.13	$927.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.92 / $632.49 / $2,961.46	Facility		$607.92	$632.49	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.71 / $1,006.17 / $1,255.43	Professional		$701.71	$1,006.17	$1,255.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $900.27 / $1,202.08	Professional		$620.00	$900.27	$1,202.08
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 $542.64 / $682.44 / $1,279.08	Professional		$542.64	$682.44	$1,279.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $385.94 / $385.94 / $506.38	Professional		$385.94	$385.94	$506.38