Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.08 / $1,114.98 / $17,100.00	Facility		$502.08	$1,114.98	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $422.04 / $1,007.44	Professional		$252.78	$422.04	$1,007.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,286.24 / $4,554.63 / $11,500.00	Facility		$1,286.24	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $449.54 / $787.89 / $3,056.56	Professional		$449.54	$787.89	$3,056.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.01 / $610.23 / $1,174.01	Professional		$337.01	$610.23	$1,174.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $325.95 / $625.59 / $1,437.92	Facility		$325.95	$625.59	$1,437.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.95 / $611.35 / $1,232.78	Professional		$325.95	$611.35	$1,232.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $256.66 / $816.23	Professional		$39.15	$256.66	$816.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $474.76 / $782.56 / $825.44	Facility		$474.76	$782.56	$825.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $546.32 / $1,613.81	Facility		$537.44	$546.32	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $667.63 / $1,014.37	Professional		$445.00	$667.63	$1,014.37
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 $428.98 / $642.41 / $991.03	Professional		$428.98	$642.41	$991.03
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 $464.88 / $661.36 / $1,175.02	Professional		$464.88	$661.36	$1,175.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.00 / $339.29 / $460.46	Professional		$303.00	$339.29	$460.46