Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.28 / $2,961.00 / $16,044.32	Facility		$673.28	$2,961.00	$16,044.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $537.35 / $1,390.03	Professional		$335.38	$537.35	$1,390.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,732.48 / $9,167.59 / $17,907.41	Facility		$1,732.48	$9,167.59	$17,907.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $610.65 / $1,032.21 / $3,930.96	Professional		$610.65	$1,032.21	$3,930.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.95 / $806.72 / $1,505.35	Professional		$445.95	$806.72	$1,505.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $439.93 / $829.86 / $2,806.97	Facility		$439.93	$829.86	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $439.93 / $826.21 / $1,820.53	Professional		$439.93	$826.21	$1,820.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $299.56 / $1,059.93	Professional		$76.04	$299.56	$1,059.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $638.16 / $1,005.80 / $1,059.27	Facility		$638.16	$1,005.80	$1,059.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.42 / $722.52 / $2,961.46	Facility		$704.42	$722.52	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.33 / $900.80 / $1,299.43	Professional		$607.33	$900.80	$1,299.43
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 $582.11 / $844.21 / $1,284.02	Professional		$582.11	$844.21	$1,284.02
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 $614.64 / $854.38 / $1,495.88	Professional		$614.64	$854.38	$1,495.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $400.50 / $434.53 / $582.42	Professional		$400.50	$434.53	$582.42