Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.12 / $1,382.95 / $18,711.00	Facility		$629.12	$1,382.95	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.68 / $548.73 / $1,297.83	Professional		$317.68	$548.73	$1,297.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,638.52 / $9,172.83 / $20,286.13	Facility		$1,638.52	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $576.83 / $1,040.45 / $4,044.56	Professional		$576.83	$1,040.45	$4,044.56
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 $406.82 / $769.32 / $1,537.80	Professional		$406.82	$769.32	$1,537.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $390.32 / $767.09 / $2,806.97	Facility		$390.32	$767.09	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.32 / $755.50 / $1,782.89	Professional		$390.32	$755.50	$1,782.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $296.03 / $1,127.13	Professional		$39.50	$296.03	$1,127.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $582.50 / $970.83 / $1,096.79	Facility		$582.50	$970.83	$1,096.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $694.45 / $748.11 / $2,961.46	Facility		$694.45	$748.11	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.79 / $840.14 / $1,321.38	Professional		$559.79	$840.14	$1,321.38
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 $518.41 / $795.96 / $1,252.59	Professional		$518.41	$795.96	$1,252.59
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 $601.50 / $875.06 / $1,450.53	Professional		$601.50	$875.06	$1,450.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $394.55 / $463.79 / $628.16	Professional		$394.55	$463.79	$628.16