Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $581.19 / $1,327.93 / $16,398.00	Facility		$581.19	$1,327.93	$16,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.29 / $485.78 / $1,240.70	Professional		$295.29	$485.78	$1,240.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,487.08 / $9,172.83 / $20,286.13	Facility		$1,487.08	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $527.52 / $925.65 / $3,590.80	Professional		$527.52	$925.65	$3,590.80
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 $400.90 / $714.69 / $1,358.89	Professional		$400.90	$714.69	$1,358.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $385.40 / $729.04 / $2,806.97	Facility		$385.40	$729.04	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.40 / $726.24 / $1,722.55	Professional		$385.40	$726.24	$1,722.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $273.84 / $937.91	Professional		$39.46	$273.84	$937.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $581.69 / $940.01 / $972.40	Facility		$581.69	$940.01	$972.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $647.79 / $661.28 / $2,961.46	Facility		$647.79	$661.28	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $522.19 / $783.21 / $1,197.74	Professional		$522.19	$783.21	$1,197.74
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 $499.93 / $751.56 / $1,187.26	Professional		$499.93	$751.56	$1,187.26
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 $577.72 / $790.35 / $1,387.43	Professional		$577.72	$790.35	$1,387.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.00 / $398.09 / $536.61	Professional		$346.00	$398.09	$536.61