Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.20 / $1,078.36 / $18,711.00	Facility		$463.20	$1,078.36	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.19 / $463.20 / $1,063.38	Professional		$252.19	$463.20	$1,063.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,191.92 / $9,172.83 / $20,286.13	Facility		$1,191.92	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $416.85 / $750.29 / $2,915.28	Professional		$416.85	$750.29	$2,915.28
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 $319.30 / $576.66 / $1,104.69	Professional		$319.30	$576.66	$1,104.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $303.87 / $582.72 / $2,806.97	Facility		$303.87	$582.72	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.87 / $580.53 / $1,622.78	Professional		$303.87	$580.53	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $250.73 / $775.70	Professional		$39.38	$250.73	$775.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.89 / $758.44 / $787.92	Facility		$459.89	$758.44	$787.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.95 / $537.42 / $2,961.46	Facility		$520.95	$537.42	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.65 / $626.24 / $966.86	Professional		$412.65	$626.24	$966.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,646.13 / $9,167.59 / $17,546.59	Facility		$5,646.13	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $396.41 / $594.29 / $959.09	Professional		$396.41	$594.29	$959.09
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 $452.79 / $638.00 / $1,119.98	Professional		$452.79	$638.00	$1,119.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $275.63 / $321.07 / $433.48	Professional		$275.63	$321.07	$433.48