Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.96 / $5,128.00 / $20,680.40	Facility		$863.96	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.60 / $592.62 / $1,409.53	Professional		$441.60	$592.62	$1,409.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,885.13 / $4,589.03 / $11,500.00	Facility		$1,885.13	$4,589.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $665.15 / $1,059.17 / $3,987.83	Professional		$665.15	$1,059.17	$3,987.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.56 / $891.09 / $1,436.53	Professional		$492.56	$891.09	$1,436.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $482.65 / $973.53 / $1,650.82	Facility		$482.65	$973.53	$1,650.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.45 / $953.66 / $1,499.41	Professional		$457.45	$953.66	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $288.41 / $955.73	Professional		$73.20	$288.41	$955.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $689.43 / $922.90 / $947.38	Facility		$689.43	$922.90	$947.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $622.41 / $1,613.81	Facility		$537.44	$622.41	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.21 / $1,027.98 / $1,282.64	Professional		$715.21	$1,027.98	$1,282.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,554.63 / $8,712.50	Facility		$3,434.81	$4,554.63	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $634.79 / $919.78 / $1,224.52	Professional		$634.79	$919.78	$1,224.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,542.00 / $10,522.00	Facility		$1,471.00	$2,542.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $586.52 / $765.60 / $1,343.98	Professional		$586.52	$765.60	$1,343.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $393.12 / $393.12 / $506.89	Professional		$393.12	$393.12	$506.89