Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.69 / $1,599.32 / $18,711.00	Facility		$784.69	$1,599.32	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.08 / $634.83 / $1,599.32	Professional		$417.08	$634.83	$1,599.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,028.88 / $9,172.83 / $20,286.13	Facility		$2,028.88	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $713.75 / $1,167.38 / $4,369.76	Professional		$713.75	$1,167.38	$4,369.76
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 $518.29 / $924.61 / $1,674.26	Professional		$518.29	$924.61	$1,674.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $520.60 / $967.20 / $2,806.97	Facility		$520.60	$967.20	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.60 / $948.96 / $1,869.08	Professional		$520.60	$948.96	$1,869.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $299.74 / $1,164.50	Professional		$76.14	$299.74	$1,164.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $683.20 / $1,134.98 / $1,176.52	Facility		$683.20	$1,134.98	$1,176.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $781.43 / $802.49 / $2,961.46	Facility		$781.43	$802.49	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.91 / $1,042.49 / $1,450.29	Professional		$705.91	$1,042.49	$1,450.29
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 $677.41 / $982.03 / $1,438.63	Professional		$677.41	$982.03	$1,438.63
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 $677.60 / $950.96 / $1,679.98	Professional		$677.60	$950.96	$1,679.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $474.46 / $485.05 / $651.26	Professional		$474.46	$485.05	$651.26