Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $598.58 / $1,388.61 / $17,930.00	Facility		$598.58	$1,388.61	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.29 / $521.27 / $1,262.82	Professional		$316.29	$521.27	$1,262.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,526.16 / $9,172.83 / $20,286.13	Facility		$1,526.16	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $539.55 / $934.81 / $3,608.16	Professional		$539.55	$934.81	$3,608.16
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 $403.48 / $715.63 / $1,372.56	Professional		$403.48	$715.63	$1,372.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $384.93 / $734.12 / $2,806.97	Facility		$384.93	$734.12	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.93 / $709.82 / $1,630.33	Professional		$384.93	$709.82	$1,630.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $273.26 / $937.91	Professional		$39.46	$273.26	$937.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $558.78 / $908.52 / $976.19	Facility		$558.78	$908.52	$976.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $647.79 / $665.85 / $2,961.46	Facility		$647.79	$665.85	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.11 / $803.49 / $1,210.24	Professional		$534.11	$803.49	$1,210.24
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 $513.45 / $768.92 / $1,190.58	Professional		$513.45	$768.92	$1,190.58
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 $556.00 / $798.60 / $1,460.70	Professional		$556.00	$798.60	$1,460.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.50 / $398.64 / $537.61	Professional		$354.50	$398.64	$537.61