Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.65 / $2,769.52 / $18,711.00	Facility		$737.65	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.26 / $533.33 / $1,092.51	Professional		$383.26	$533.33	$1,092.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,431.46 / $9,172.83 / $17,546.59	Facility		$2,431.46	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $595.05 / $967.44 / $3,683.03	Professional		$595.05	$967.44	$3,683.03
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 $405.37 / $752.90 / $1,284.78	Professional		$405.37	$752.90	$1,284.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $400.63 / $832.30 / $3,280.24	Facility		$400.63	$832.30	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.02 / $822.70 / $2,824.57	Professional		$385.02	$822.70	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $226.44 / $873.31	Professional		$38.60	$226.44	$873.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $550.27 / $758.44 / $847.55	Facility		$550.27	$758.44	$847.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.83 / $578.11 / $2,961.46	Facility		$555.83	$578.11	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.58 / $919.66 / $1,147.48	Professional		$640.58	$919.66	$1,147.48
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 $566.87 / $822.86 / $1,097.35	Professional		$566.87	$822.86	$1,097.35
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.46 / $662.91 / $1,168.23	Professional		$488.46	$662.91	$1,168.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.37 / $353.37 / $466.53	Professional		$353.37	$353.37	$466.53