Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.45 / $1,433.02 / $18,711.00	Facility		$680.45	$1,433.02	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.26 / $545.92 / $1,406.39	Professional		$347.26	$545.92	$1,406.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,323.75 / $4,594.55 / $11,500.00	Facility		$1,323.75	$4,594.55	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $616.39 / $1,025.58 / $3,894.72	Professional		$616.39	$1,025.58	$3,894.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $1,677.65	Facility		$883.20	$1,075.31	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.88 / $803.18 / $1,481.57	Professional		$461.88	$803.18	$1,481.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $452.23 / $849.31 / $1,389.86	Facility		$452.23	$849.31	$1,389.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.23 / $839.30 / $1,341.13	Professional		$452.23	$839.30	$1,341.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $287.95 / $1,016.12	Professional		$73.33	$287.95	$1,016.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $650.70 / $1,009.36 / $1,048.56	Facility		$650.70	$1,009.36	$1,048.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.84 / $698.53 / $1,323.75	Facility		$440.84	$698.53	$1,323.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $610.16 / $901.98 / $1,291.08	Professional		$610.16	$901.98	$1,291.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $581.59 / $838.49 / $1,267.14	Professional		$581.59	$838.49	$1,267.14
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $851.86 / $1,495.55	Professional		$615.00	$851.86	$1,495.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.20 / $429.29 / $573.80	Professional		$398.20	$429.29	$573.80