Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.61 / $1,142.80 / $17,930.00	Facility		$493.61	$1,142.80	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.42 / $420.15 / $1,059.67	Professional		$255.42	$420.15	$1,059.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,271.11 / $9,172.83 / $20,286.13	Facility		$1,271.11	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $450.63 / $785.30 / $3,047.68	Professional		$450.63	$785.30	$3,047.68
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 $339.48 / $604.51 / $1,152.65	Professional		$339.48	$604.51	$1,152.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $329.64 / $628.63 / $2,806.97	Facility		$329.64	$628.63	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.64 / $621.62 / $1,622.78	Professional		$329.64	$621.62	$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 $491.38 / $799.10 / $826.88	Facility		$491.38	$799.10	$826.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $550.85 / $560.28 / $2,961.46	Facility		$550.85	$560.28	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.13 / $665.56 / $1,011.04	Professional		$446.13	$665.56	$1,011.04
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 $426.71 / $643.25 / $1,005.93	Professional		$426.71	$643.25	$1,005.93
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 $475.59 / $662.52 / $1,186.01	Professional		$475.59	$662.52	$1,186.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $296.08 / $336.52 / $454.33	Professional		$296.08	$336.52	$454.33