Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $519.38 / $1,514.38 / $18,711.00	Facility		$519.38	$1,514.38	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.82 / $493.55 / $1,326.99	Professional		$283.82	$493.55	$1,326.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,329.92 / $9,172.83 / $20,286.13	Facility		$1,329.92	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $471.14 / $807.13 / $3,139.44	Professional		$471.14	$807.13	$3,139.44
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 $370.87 / $657.84 / $1,201.32	Professional		$370.87	$657.84	$1,201.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $354.31 / $686.71 / $2,806.97	Facility		$354.31	$686.71	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $354.31 / $672.39 / $1,622.78	Professional		$354.31	$672.39	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $251.05 / $775.68	Professional		$39.46	$251.05	$775.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $525.92 / $823.18 / $1,048.66	Facility		$525.92	$823.18	$1,048.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.46 / $574.91 / $2,961.46	Facility		$559.46	$574.91	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $463.16 / $691.81 / $1,036.04	Professional		$463.16	$691.81	$1,036.04
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 $445.67 / $669.36 / $1,031.69	Professional		$445.67	$669.36	$1,031.69
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 $514.91 / $698.82 / $1,200.11	Professional		$514.91	$698.82	$1,200.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $307.27 / $345.64 / $464.73	Professional		$307.27	$345.64	$464.73