Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.53 / $1,555.63 / $18,711.00	Facility		$750.53	$1,555.63	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.38 / $750.53 / $1,556.56	Professional		$413.38	$750.53	$1,556.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,937.08 / $9,172.83 / $20,286.13	Facility		$1,937.08	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $691.11 / $1,127.97 / $4,262.24	Professional		$691.11	$1,127.97	$4,262.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.13 / $890.21 / $1,605.05	Professional		$519.13	$890.21	$1,605.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $504.18 / $963.92 / $2,806.97	Facility		$504.18	$963.92	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.18 / $926.74 / $1,820.53	Professional		$504.18	$926.74	$1,820.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $344.64 / $1,096.88	Professional		$76.14	$344.64	$1,096.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $718.78 / $1,110.19 / $1,140.33	Facility		$718.78	$1,110.19	$1,140.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.51 / $777.81 / $2,961.46	Facility		$756.51	$777.81	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.70 / $1,002.95 / $1,399.45	Professional		$673.70	$1,002.95	$1,399.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,646.13 / $9,167.59 / $17,546.59	Facility		$5,646.13	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $649.02 / $935.70 / $1,389.02	Professional		$649.02	$935.70	$1,389.02
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 $695.93 / $944.48 / $1,621.09	Professional		$695.93	$944.48	$1,621.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $442.15 / $469.04 / $622.89	Professional		$442.15	$469.04	$622.89