Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.80 / $5,128.00 / $20,680.40	Facility		$908.80	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.65 / $630.45 / $1,375.58	Professional		$454.65	$630.45	$1,375.58
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 $700.43 / $1,131.84 / $4,334.78	Professional		$700.43	$1,131.84	$4,334.78
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 $506.86 / $886.11 / $1,507.58	Professional		$506.86	$886.11	$1,507.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $510.69 / $1,037.98 / $3,280.24	Facility		$510.69	$1,037.98	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $469.35 / $1,009.20 / $2,824.57	Professional		$469.35	$1,009.20	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $288.03 / $977.02	Professional		$73.20	$288.03	$977.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $682.08 / $932.64 / $997.63	Facility		$682.08	$932.64	$997.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $656.85 / $680.47 / $2,961.46	Facility		$656.85	$680.47	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.31 / $1,082.50 / $1,350.67	Professional		$756.31	$1,082.50	$1,350.67
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 $669.90 / $968.57 / $1,295.35	Professional		$669.90	$968.57	$1,295.35
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 $594.78 / $800.73 / $1,421.22	Professional		$594.78	$800.73	$1,421.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $415.20 / $415.20 / $543.35	Professional		$415.20	$415.20	$543.35