Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.10 / $5,128.00 / $20,680.40	Facility		$846.10	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.07 / $586.98 / $1,281.75	Professional		$424.07	$586.98	$1,281.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $647.74 / $1,052.45 / $3,993.68	Professional		$647.74	$1,052.45	$3,993.68
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 $473.82 / $824.96 / $1,397.17	Professional		$473.82	$824.96	$1,397.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $475.45 / $971.51 / $3,280.24	Facility		$475.45	$971.51	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.06 / $940.32 / $2,824.57	Professional		$438.06	$940.32	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.29 / $917.26	Professional		$73.20	$287.29	$917.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $637.49 / $866.31 / $922.59	Facility		$637.49	$866.31	$922.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $607.92 / $629.29 / $2,961.46	Facility		$607.92	$629.29	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $702.36 / $1,001.08 / $1,249.08	Professional		$702.36	$1,001.08	$1,249.08
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 $620.00 / $895.71 / $1,202.96	Professional		$620.00	$895.71	$1,202.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.58 / $751.85 / $1,319.84	Professional		$545.58	$751.85	$1,319.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $388.70 / $388.70 / $509.34	Professional		$388.70	$388.70	$509.34