Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $571.55 / $1,243.49 / $17,100.00	Facility		$571.55	$1,243.49	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.89 / $568.45 / $1,206.09	Professional		$316.89	$568.45	$1,206.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,466.20 / $4,554.63 / $11,500.00	Facility		$1,466.20	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $512.04 / $890.12 / $3,448.32	Professional		$512.04	$890.12	$3,448.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.35 / $708.21 / $1,328.14	Professional		$382.35	$708.21	$1,328.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $371.46 / $714.69 / $1,472.45	Facility		$371.46	$714.69	$1,472.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.46 / $706.73 / $1,307.38	Professional		$371.46	$706.73	$1,307.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $273.26 / $924.58	Professional		$39.46	$273.26	$924.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $543.65 / $875.73 / $929.96	Facility		$543.65	$875.73	$929.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $610.19 / $1,613.81	Facility		$537.44	$610.19	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $506.87 / $761.82 / $1,138.56	Professional		$506.87	$761.82	$1,138.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,554.63 / $8,712.50	Facility		$3,434.81	$4,554.63	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $488.61 / $731.72 / $1,106.90	Professional		$488.61	$731.72	$1,106.90
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 $527.20 / $724.90 / $1,304.82	Professional		$527.20	$724.90	$1,304.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.60 / $384.01 / $517.23	Professional		$343.60	$384.01	$517.23