Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.39 / $1,397.74 / $18,711.00	Facility		$643.39	$1,397.74	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.61 / $721.76 / $1,426.36	Professional		$371.61	$721.76	$1,426.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,644.56 / $19,823.93 / $38,781.51	Facility		$1,644.56	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $584.34 / $975.87 / $3,959.35	Professional		$584.34	$975.87	$3,959.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.28 / $796.18 / $1,445.62	Professional		$446.28	$796.18	$1,445.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $431.95 / $825.29 / $6,240.53	Facility		$431.95	$825.29	$6,240.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.95 / $815.32 / $3,607.82	Professional		$431.95	$815.32	$3,607.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $241.26 / $990.11	Professional		$68.44	$241.26	$990.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $650.38 / $988.92 / $1,052.57	Facility		$650.38	$988.92	$1,052.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.06 / $695.10 / $9,062.87	Facility		$674.06	$695.10	$9,062.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.54 / $863.64 / $1,274.14	Professional		$575.54	$863.64	$1,274.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $551.03 / $824.35 / $1,244.17	Professional		$551.03	$824.35	$1,244.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.55 / $821.94 / $1,461.23	Professional		$607.55	$821.94	$1,461.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.01 / $419.90 / $561.72	Professional		$379.01	$419.90	$561.72