Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.16 / $2,769.52 / $18,711.00	Facility		$783.16	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.43 / $584.49 / $1,242.88	Professional		$390.43	$584.49	$1,242.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $607.02 / $4,453.57 / $8,712.50	Facility		$607.02	$4,453.57	$8,712.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $634.32 / $1,020.40 / $4,042.95	Professional		$634.32	$1,020.40	$4,042.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $568.48 / $1,985.59	Facility		$500.00	$568.48	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.25 / $824.97 / $1,409.76	Professional		$445.25	$824.97	$1,409.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $423.77 / $887.88 / $1,575.30	Facility		$423.77	$887.88	$1,575.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.25 / $879.53 / $1,499.41	Professional		$425.25	$879.53	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.29 / $917.62	Professional		$73.20	$287.29	$917.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $617.40 / $852.85 / $929.96	Facility		$617.40	$852.85	$929.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.02 / $634.32 / $2,313.11	Facility		$607.02	$634.32	$2,313.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.71 / $1,009.08 / $1,259.05	Professional		$701.71	$1,009.08	$1,259.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $619.08 / $902.87 / $1,202.01	Professional		$619.08	$902.87	$1,202.01
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.40 / $750.07 / $1,385.81	Professional		$510.40	$750.07	$1,385.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $386.77 / $386.77 / $511.10	Professional		$386.77	$386.77	$511.10