Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.04 / $1,351.71 / $16,398.00	Facility		$541.04	$1,351.71	$16,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.77 / $472.65 / $1,086.60	Professional		$269.77	$472.65	$1,086.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,396.88 / $9,167.59 / $17,907.41	Facility		$1,396.88	$9,167.59	$17,907.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $489.75 / $888.00 / $3,449.28	Professional		$489.75	$888.00	$3,449.28
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 $371.81 / $687.89 / $1,306.93	Professional		$371.81	$687.89	$1,306.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $353.94 / $682.56 / $2,806.97	Facility		$353.94	$682.56	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.94 / $675.80 / $1,622.78	Professional		$353.94	$675.80	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $265.74 / $861.71	Professional		$39.46	$265.74	$861.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $545.82 / $887.08 / $931.30	Facility		$545.82	$887.08	$931.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $615.63 / $635.23 / $2,961.46	Facility		$615.63	$635.23	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.73 / $737.88 / $1,138.56	Professional		$484.73	$737.88	$1,138.56
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 $467.08 / $701.40 / $1,133.78	Professional		$467.08	$701.40	$1,133.78
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 $541.36 / $751.30 / $1,318.88	Professional		$541.36	$751.30	$1,318.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $327.00 / $382.91 / $517.61	Professional		$327.00	$382.91	$517.61