Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.13 / $1,210.33 / $14,464.32	Facility		$572.13	$1,210.33	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.06 / $495.18 / $1,171.07	Professional		$295.06	$495.18	$1,171.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,323.75 / $4,594.55 / $11,500.00	Facility		$1,323.75	$4,594.55	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $538.16 / $937.22 / $3,778.94	Professional		$538.16	$937.22	$3,778.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,677.65	Facility		$625.25	$761.81	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.04 / $697.62 / $1,378.84	Professional		$395.04	$697.62	$1,378.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $385.05 / $727.84 / $1,291.83	Facility		$385.05	$727.84	$1,291.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.05 / $717.09 / $1,258.98	Professional		$385.05	$717.09	$1,258.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $294.49 / $1,002.90	Professional		$39.65	$294.49	$1,002.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $594.29 / $862.96 / $984.23	Facility		$594.29	$862.96	$984.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $668.63 / $1,323.75	Facility		$440.84	$668.63	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $516.52 / $780.74 / $1,225.25	Professional		$516.52	$780.74	$1,225.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $490.98 / $741.64 / $1,181.70	Professional		$490.98	$741.64	$1,181.70
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.00 / $772.34 / $1,378.92	Professional		$574.00	$772.34	$1,378.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.35 / $401.12 / $541.58	Professional		$338.35	$401.12	$541.58