Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.94 / $1,536.65 / $17,100.00	Facility		$663.94	$1,536.65	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.12 / $611.07 / $1,553.19	Professional		$307.12	$611.07	$1,553.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $599.77 / $1,131.80 / $4,355.92	Professional		$599.77	$1,131.80	$4,355.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,670.83	Facility		$625.25	$761.81	$2,670.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.88 / $820.24 / $1,675.56	Professional		$424.88	$820.24	$1,675.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $413.84 / $830.35 / $1,980.59	Facility		$413.84	$830.35	$1,980.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $413.84 / $821.93 / $1,688.45	Professional		$413.84	$821.93	$1,688.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.71 / $352.89 / $1,197.01	Professional		$42.71	$352.89	$1,197.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $637.84 / $1,083.39 / $1,191.93	Facility		$637.84	$1,083.39	$1,191.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $796.37 / $1,613.81	Facility		$537.44	$796.37	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $649.42 / $912.44 / $1,475.30	Professional		$649.42	$912.44	$1,475.30
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 $569.77 / $857.45 / $1,459.67	Professional		$569.77	$857.45	$1,459.67
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 $652.86 / $954.18 / $1,708.93	Professional		$652.86	$954.18	$1,708.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $406.20 / $488.92 / $670.99	Professional		$406.20	$488.92	$670.99