Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.98 / $1,339.26 / $18,711.00	Facility		$643.98	$1,339.26	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.72 / $519.05 / $1,121.55	Professional		$326.72	$519.05	$1,121.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,647.52 / $8,047.87 / $15,720.23	Facility		$1,647.52	$8,047.87	$15,720.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $577.86 / $956.11 / $3,593.20	Professional		$577.86	$956.11	$3,593.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.42 / $760.96 / $1,367.42	Professional		$431.42	$760.96	$1,367.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $425.58 / $791.04 / $2,136.38	Facility		$425.58	$791.04	$2,136.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.58 / $770.24 / $1,526.52	Professional		$425.58	$770.24	$1,526.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $285.69 / $932.72	Professional		$73.20	$285.69	$932.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $602.28 / $934.69 / $966.14	Facility		$602.28	$934.69	$966.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.64 / $658.99 / $2,218.36	Facility		$639.64	$658.99	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.54 / $853.64 / $1,194.41	Professional		$575.54	$853.64	$1,194.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $553.14 / $797.48 / $1,165.74	Professional		$553.14	$797.48	$1,165.74
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.55 / $788.14 / $1,383.55	Professional		$573.55	$788.14	$1,383.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $382.78 / $399.47 / $533.53	Professional		$382.78	$399.47	$533.53