Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.89 / $1,259.43 / $17,930.00	Facility		$545.89	$1,259.43	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.23 / $440.52 / $1,009.86	Professional		$275.23	$440.52	$1,009.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,399.04 / $9,167.59 / $17,907.41	Facility		$1,399.04	$9,167.59	$17,907.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $497.51 / $834.95 / $3,197.76	Professional		$497.51	$834.95	$3,197.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.58 / $653.59 / $1,222.07	Professional		$367.58	$653.59	$1,222.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $358.19 / $685.04 / $2,806.97	Facility		$358.19	$685.04	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.19 / $679.31 / $1,622.78	Professional		$358.19	$679.31	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $258.51 / $839.46	Professional		$39.46	$258.51	$839.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $524.58 / $818.10 / $859.61	Facility		$524.58	$818.10	$859.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $573.95 / $586.33 / $2,961.46	Facility		$573.95	$586.33	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $490.97 / $729.62 / $1,062.71	Professional		$490.97	$729.62	$1,062.71
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 $469.38 / $690.57 / $1,052.70	Professional		$469.38	$690.57	$1,052.70
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 $512.50 / $701.25 / $1,231.01	Professional		$512.50	$701.25	$1,231.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.89 / $353.37 / $473.86	Professional		$323.89	$353.37	$473.86