Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $609.41 / $1,313.16 / $17,100.00	Facility		$609.41	$1,313.16	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.82 / $516.89 / $1,237.71	Professional		$301.82	$516.89	$1,237.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,555.28 / $9,172.83 / $17,546.59	Facility		$1,555.28	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $551.03 / $945.34 / $3,629.12	Professional		$551.03	$945.34	$3,629.12
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 $405.41 / $748.86 / $1,397.55	Professional		$405.41	$748.86	$1,397.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $397.70 / $753.51 / $2,806.97	Facility		$397.70	$753.51	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.70 / $746.90 / $1,706.61	Professional		$397.70	$746.90	$1,706.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $273.26 / $937.91	Professional		$39.46	$273.26	$937.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.41 / $937.33 / $980.21	Facility		$588.41	$937.33	$980.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.77 / $668.59 / $2,961.46	Facility		$652.77	$668.59	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $545.46 / $813.50 / $1,207.74	Professional		$545.46	$813.50	$1,207.74
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 $523.11 / $780.29 / $1,199.69	Professional		$523.11	$780.29	$1,199.69
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 $563.67 / $806.47 / $1,470.03	Professional		$563.67	$806.47	$1,470.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.31 / $402.23 / $541.26	Professional		$361.31	$402.23	$541.26