Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $536.97 / $1,282.99 / $17,100.00	Facility		$536.97	$1,282.99	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.37 / $469.80 / $1,117.96	Professional		$268.37	$469.80	$1,117.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,373.44 / $4,589.03 / $11,500.00	Facility		$1,373.44	$4,589.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $485.79 / $836.00 / $3,242.00	Professional		$485.79	$836.00	$3,242.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.23 / $644.94 / $1,246.94	Professional		$361.23	$644.94	$1,246.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $352.25 / $669.09 / $1,472.45	Facility		$352.25	$669.09	$1,472.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.25 / $665.97 / $1,256.27	Professional		$352.25	$665.97	$1,256.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $265.51 / $836.67	Professional		$39.46	$265.51	$836.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $513.89 / $839.06 / $873.01	Facility		$513.89	$839.06	$873.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $581.20 / $1,613.81	Facility		$537.44	$581.20	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.62 / $715.14 / $1,075.22	Professional		$479.62	$715.14	$1,075.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,554.63 / $8,712.50	Facility		$3,434.81	$4,554.63	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $460.95 / $692.03 / $1,054.31	Professional		$460.95	$692.03	$1,054.31
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 $502.58 / $709.49 / $1,245.48	Professional		$502.58	$709.49	$1,245.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.88 / $359.17 / $484.04	Professional		$319.88	$359.17	$484.04