Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.75 / $1,287.68 / $17,100.00	Facility		$518.75	$1,287.68	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.06 / $561.04 / $1,318.31	Professional		$284.06	$561.04	$1,318.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,328.36 / $9,172.83 / $17,546.59	Facility		$1,328.36	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $481.84 / $802.98 / $3,117.91	Professional		$481.84	$802.98	$3,117.91
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 $358.69 / $642.50 / $1,191.32	Professional		$358.69	$642.50	$1,191.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $346.69 / $669.34 / $2,806.97	Facility		$346.69	$669.34	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.69 / $659.85 / $1,622.78	Professional		$346.69	$659.85	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $251.05 / $775.68	Professional		$39.46	$251.05	$775.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $558.91 / $816.06 / $918.57	Facility		$558.91	$816.06	$918.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $555.83 / $570.34 / $2,961.46	Facility		$555.83	$570.34	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.59 / $690.97 / $1,028.54	Professional		$462.59	$690.97	$1,028.54
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 $445.15 / $664.51 / $1,023.98	Professional		$445.15	$664.51	$1,023.98
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 $511.56 / $694.26 / $1,205.82	Professional		$511.56	$694.26	$1,205.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $306.93 / $343.15 / $461.23	Professional		$306.93	$343.15	$461.23