Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.51 / $5,128.00 / $20,680.40	Facility		$949.51	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.06 / $658.54 / $1,378.08	Professional		$511.06	$658.54	$1,378.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.12 / $9,172.83 / $20,286.13	Facility		$3,478.12	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $711.09 / $1,125.01 / $4,644.56	Professional		$711.09	$1,125.01	$4,644.56
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 $531.26 / $925.80 / $1,573.99	Professional		$531.26	$925.80	$1,573.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $542.65 / $1,098.90 / $3,280.24	Facility		$542.65	$1,098.90	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.56 / $1,057.77 / $2,824.57	Professional		$491.56	$1,057.77	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $299.93 / $1,017.67	Professional		$76.14	$299.93	$1,017.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $699.62 / $966.99 / $1,042.52	Facility		$699.62	$966.99	$1,042.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $688.11 / $711.09 / $2,961.46	Facility		$688.11	$711.09	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $790.74 / $1,131.21 / $1,411.45	Professional		$790.74	$1,131.21	$1,411.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,145.87 / $9,167.59 / $17,546.59	Facility		$6,145.87	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $701.78 / $1,012.15 / $1,354.32	Professional		$701.78	$1,012.15	$1,354.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,547.00 / $11,604.61 / $19,271.00	Facility		$5,547.00	$11,604.61	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $616.13 / $846.44 / $1,485.89	Professional		$616.13	$846.44	$1,485.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $434.25 / $434.25 / $566.58	Professional		$434.25	$434.25	$566.58