Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.41 / $1,305.75 / $17,100.00	Facility		$601.41	$1,305.75	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.79 / $628.34 / $1,403.19	Professional		$336.79	$628.34	$1,403.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,528.04 / $9,172.83 / $17,546.59	Facility		$1,528.04	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $555.53 / $903.08 / $3,483.30	Professional		$555.53	$903.08	$3,483.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $406.92 / $736.07 / $1,288.01	Professional		$406.92	$736.07	$1,288.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $413.69 / $750.26 / $2,806.97	Facility		$413.69	$750.26	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.69 / $746.75 / $1,667.90	Professional		$413.69	$746.75	$1,667.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $286.82 / $981.97	Professional		$39.65	$286.82	$981.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $561.15 / $881.72 / $938.67	Facility		$561.15	$881.72	$938.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $606.57 / $620.15 / $2,961.46	Facility		$606.57	$620.15	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $539.79 / $803.58 / $1,127.73	Professional		$539.79	$803.58	$1,127.73
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 $516.26 / $754.36 / $1,117.08	Professional		$516.26	$754.36	$1,117.08
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 $560.04 / $751.29 / $1,311.35	Professional		$560.04	$751.29	$1,311.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $365.05 / $384.01 / $513.03	Professional		$365.05	$384.01	$513.03