Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.31 / $1,390.13 / $14,464.32	Facility		$746.31	$1,390.13	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.10 / $743.26 / $1,473.55	Professional		$403.10	$743.26	$1,473.55
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,899.20 / $9,172.83 / $17,546.59	Facility		$1,899.20	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $679.46 / $1,201.57 / $4,555.84	Professional		$679.46	$1,201.57	$4,555.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,740.43	Facility		$466.83	$568.48	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.50 / $879.97 / $1,745.41	Professional		$470.50	$879.97	$1,745.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $451.26 / $894.71 / $2,806.97	Facility		$451.26	$894.71	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $451.26 / $894.71 / $1,999.90	Professional		$451.26	$894.71	$1,999.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $374.65 / $1,249.92	Professional		$42.71	$374.65	$1,249.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $583.74 / $1,019.10 / $1,247.54	Facility		$583.74	$1,019.10	$1,247.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $835.33 / $850.93 / $2,961.46	Facility		$835.33	$850.93	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $672.61 / $1,007.07 / $1,546.98	Professional		$672.61	$1,007.07	$1,546.98
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 $643.75 / $970.66 / $1,527.77	Professional		$643.75	$970.66	$1,527.77
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 $611.03 / $1,006.22 / $1,791.98	Professional		$611.03	$1,006.22	$1,791.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $448.96 / $512.11 / $694.02	Professional		$448.96	$512.11	$694.02