Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.24 / $1,503.49 / $13,850.72	Facility		$665.24	$1,503.49	$13,850.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.83 / $530.25 / $1,304.02	Professional		$331.83	$530.25	$1,304.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,711.20 / $9,172.83 / $17,546.59	Facility		$1,711.20	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $607.04 / $1,014.86 / $3,867.52	Professional		$607.04	$1,014.86	$3,867.52
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 $440.07 / $797.93 / $1,483.04	Professional		$440.07	$797.93	$1,483.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $435.85 / $820.22 / $2,806.97	Facility		$435.85	$820.22	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.85 / $816.04 / $1,797.69	Professional		$435.85	$816.04	$1,797.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $202.62 / $983.24	Professional		$55.67	$202.62	$983.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $615.96 / $978.57 / $1,043.19	Facility		$615.96	$978.57	$1,043.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $697.62 / $711.55 / $2,961.46	Facility		$697.62	$711.55	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.36 / $890.00 / $1,282.76	Professional		$603.36	$890.00	$1,282.76
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 $575.27 / $844.21 / $1,277.36	Professional		$575.27	$844.21	$1,277.36
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 $605.28 / $846.44 / $1,489.30	Professional		$605.28	$846.44	$1,489.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $395.77 / $427.08 / $572.57	Professional		$395.77	$427.08	$572.57