Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.27 / $1,337.20 / $17,930.00	Facility		$619.27	$1,337.20	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $499.36 / $1,262.03	Professional		$313.02	$499.36	$1,262.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,588.96 / $9,167.59 / $17,907.41	Facility		$1,588.96	$9,167.59	$17,907.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $564.71 / $950.60 / $3,632.56	Professional		$564.71	$950.60	$3,632.56
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 $411.26 / $742.28 / $1,395.28	Professional		$411.26	$742.28	$1,395.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $409.12 / $769.54 / $2,806.97	Facility		$409.12	$769.54	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.12 / $767.69 / $1,715.71	Professional		$409.12	$767.69	$1,715.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $274.03 / $937.91	Professional		$39.46	$274.03	$937.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $587.44 / $943.36 / $978.87	Facility		$587.44	$943.36	$978.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $651.41 / $667.68 / $2,961.46	Facility		$651.41	$667.68	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.25 / $827.68 / $1,205.24	Professional		$556.25	$827.68	$1,205.24
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 $533.65 / $780.20 / $1,198.75	Professional		$533.65	$780.20	$1,198.75
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 $559.53 / $795.30 / $1,396.12	Professional		$559.53	$795.30	$1,396.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $369.94 / $402.50 / $541.21	Professional		$369.94	$402.50	$541.21