Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.99 / $1,430.75 / $18,711.00	Facility		$671.99	$1,430.75	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.30 / $683.20 / $1,430.75	Professional		$382.30	$683.20	$1,430.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,720.00 / $4,554.63 / $11,500.00	Facility		$1,720.00	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $609.52 / $1,005.07 / $3,849.36	Professional		$609.52	$1,005.07	$3,849.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $1,985.59	Facility		$883.20	$1,075.31	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.17 / $793.92 / $1,457.67	Professional		$467.17	$793.92	$1,457.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $444.77 / $861.44 / $1,490.07	Facility		$444.77	$861.44	$1,490.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.77 / $831.60 / $1,363.72	Professional		$444.77	$831.60	$1,363.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.29 / $1,016.38	Professional		$73.20	$287.29	$1,016.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $634.76 / $989.05 / $1,031.13	Facility		$634.76	$989.05	$1,031.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $684.94 / $1,613.81	Facility		$537.44	$684.94	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.36 / $889.24 / $1,265.25	Professional		$603.36	$889.24	$1,265.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,554.63 / $8,712.50	Facility		$3,434.81	$4,554.63	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $576.32 / $840.85 / $1,242.49	Professional		$576.32	$840.85	$1,242.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,408.00 / $5,724.01 / $10,522.00	Facility		$2,408.00	$5,724.01	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $637.55 / $834.90 / $1,465.64	Professional		$637.55	$834.90	$1,465.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $394.87 / $424.59 / $566.13	Professional		$394.87	$424.59	$566.13