Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.04 / $4,011.00 / $18,711.00	Facility		$725.04	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.81 / $590.39 / $1,218.38	Professional		$367.81	$590.39	$1,218.38
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 $655.74 / $1,048.52 / $4,432.64	Professional		$655.74	$1,048.52	$4,432.64
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 $451.14 / $830.73 / $1,413.55	Professional		$451.14	$830.73	$1,413.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $431.08 / $930.90 / $3,280.24	Facility		$431.08	$930.90	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.97 / $895.59 / $2,824.57	Professional		$429.97	$895.59	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.29 / $898.93	Professional		$73.20	$287.29	$898.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $570.85 / $842.33 / $933.98	Facility		$570.85	$842.33	$933.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $613.36 / $637.05 / $2,961.46	Facility		$613.36	$637.05	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.88 / $1,013.44 / $1,264.50	Professional		$707.88	$1,013.44	$1,264.50
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 $625.54 / $906.77 / $1,212.64	Professional		$625.54	$906.77	$1,212.64
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 $518.79 / $753.32 / $1,302.83	Professional		$518.79	$753.32	$1,302.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.43 / $388.43 / $510.57	Professional		$388.43	$388.43	$510.57