Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.62 / $5,128.00 / $20,680.40	Facility		$832.62	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.24 / $654.11 / $1,348.01	Professional		$467.24	$654.11	$1,348.01
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 $727.71 / $1,165.61 / $4,504.28	Professional		$727.71	$1,165.61	$4,504.28
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 $501.77 / $921.42 / $1,570.36	Professional		$501.77	$921.42	$1,570.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $1,002.43 / $3,280.24	Facility		$487.58	$1,002.43	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.71 / $993.24 / $2,824.57	Professional		$477.71	$993.24	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $301.83 / $1,058.46	Professional		$76.14	$301.83	$1,058.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $642.88 / $937.04 / $1,036.49	Facility		$642.88	$937.04	$1,036.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $679.50 / $706.98 / $2,961.46	Facility		$679.50	$706.98	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $784.42 / $1,124.67 / $1,403.28	Professional		$784.42	$1,124.67	$1,403.28
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 $693.00 / $1,006.29 / $1,343.76	Professional		$693.00	$1,006.29	$1,343.76
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 $582.50 / $776.05 / $1,474.33	Professional		$582.50	$776.05	$1,474.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $431.50 / $431.50 / $568.77	Professional		$431.50	$431.50	$568.77