Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.52 / $2,538.76 / $17,100.00	Facility		$379.52	$2,538.76	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $673.51 / $1,846.70	Professional		$223.84	$673.51	$1,846.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.60 / $1,449.60 / $8,980.00	Facility		$1,449.60	$1,449.60	$8,980.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $376.33 / $1,905.27 / $7,510.32	Professional		$376.33	$1,905.27	$7,510.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.33 / $680.61 / $2,887.24	Professional		$273.33	$680.61	$2,887.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $296.64 / $894.04 / $2,746.84	Facility		$296.64	$894.04	$2,746.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.22 / $894.04 / $2,746.84	Professional		$301.22	$894.04	$2,746.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.52 / $1,610.59 / $2,715.82	Professional		$270.52	$1,610.59	$2,715.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $456.27 / $1,958.74 / $2,133.28	Facility		$456.27	$1,958.74	$2,133.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.76 / $1,394.76 / $1,446.88	Facility		$1,394.76	$1,394.76	$1,446.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.67 / $1,378.12 / $2,768.47	Professional		$370.67	$1,378.12	$2,768.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $376.33 / $773.95 / $2,363.56	Professional		$376.33	$773.95	$2,363.56
United Facility/Professional Facility Modifier Low / Median / High Price $414.00 / $666.00 / $6,216.00	Facility		$414.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,167.34 / $1,935.36 / $3,035.90	Professional		$1,167.34	$1,935.36	$3,035.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.47 / $216.47 / $1,145.03	Professional		$216.47	$216.47	$1,145.03