Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.67 / $1,197.33 / $17,100.00	Facility		$543.67	$1,197.33	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.20 / $455.51 / $1,197.33	Professional		$299.20	$455.51	$1,197.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,396.08 / $9,172.83 / $17,546.59	Facility		$1,396.08	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $497.28 / $853.92 / $3,307.36	Professional		$497.28	$853.92	$3,307.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.27 / $654.75 / $1,260.33	Professional		$369.27	$654.75	$1,260.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $367.95 / $694.44 / $2,806.97	Facility		$367.95	$694.44	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $367.95 / $682.94 / $1,622.78	Professional		$367.95	$682.94	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $270.89 / $863.49	Professional		$39.46	$270.89	$863.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $528.39 / $844.20 / $891.77	Facility		$528.39	$844.20	$891.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.70 / $607.80 / $2,961.46	Facility		$595.70	$607.80	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.27 / $729.31 / $1,099.39	Professional		$489.27	$729.31	$1,099.39
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 $468.85 / $708.35 / $1,091.27	Professional		$468.85	$708.35	$1,091.27
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 $513.29 / $718.72 / $1,280.07	Professional		$513.29	$718.72	$1,280.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $323.54 / $364.96 / $490.47	Professional		$323.54	$364.96	$490.47