Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.53 / $1,380.23 / $18,711.00	Facility		$605.53	$1,380.23	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $364.30 / $655.62 / $1,346.46	Professional		$364.30	$655.62	$1,346.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,545.60 / $9,172.83 / $20,286.13	Facility		$1,545.60	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $560.37 / $944.56 / $3,656.72	Professional		$560.37	$944.56	$3,656.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.17 / $755.81 / $1,395.58	Professional		$419.17	$755.81	$1,395.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $407.95 / $783.79 / $2,806.97	Facility		$407.95	$783.79	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.95 / $775.15 / $1,773.78	Professional		$407.95	$775.15	$1,773.78
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 $609.73 / $942.02 / $988.25	Facility		$609.73	$942.02	$988.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.21 / $674.08 / $2,961.46	Facility		$658.21	$674.08	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.63 / $808.50 / $1,216.08	Professional		$542.63	$808.50	$1,216.08
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 $517.32 / $774.71 / $1,197.21	Professional		$517.32	$774.71	$1,197.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,542.00 / $10,522.00	Facility		$1,471.00	$2,542.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $588.11 / $787.36 / $1,391.94	Professional		$588.11	$787.36	$1,391.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.50 / $405.54 / $546.15	Professional		$359.50	$405.54	$546.15