Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.81 / $1,451.19 / $18,711.00	Facility		$668.81	$1,451.19	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $554.71 / $1,393.14	Professional		$330.25	$554.71	$1,393.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,727.12 / $19,823.93 / $38,781.51	Facility		$1,727.12	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $613.16 / $1,056.86 / $4,076.40	Professional		$613.16	$1,056.86	$4,076.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.60 / $816.88 / $1,566.30	Professional		$452.60	$816.88	$1,566.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.28 / $835.66 / $6,166.72	Facility		$436.28	$835.66	$6,166.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.28 / $824.39 / $3,607.82	Professional		$436.28	$824.39	$3,607.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $299.74 / $1,091.17	Professional		$76.77	$299.74	$1,091.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $634.36 / $1,039.83 / $1,100.81	Facility		$634.36	$1,039.83	$1,100.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $729.78 / $750.85 / $6,526.97	Facility		$729.78	$750.85	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.36 / $898.51 / $1,347.77	Professional		$603.36	$898.51	$1,347.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $580.50 / $870.75 / $1,342.11	Professional		$580.50	$870.75	$1,342.11
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 $631.19 / $887.87 / $1,561.23	Professional		$631.19	$887.87	$1,561.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $402.89 / $455.51 / $611.65	Professional		$402.89	$455.51	$611.65