Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.99 / $2,602.11 / $13,809.00	Facility		$347.99	$2,602.11	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.61 / $1,194.90 / $3,403.09	Professional		$273.61	$1,194.90	$3,403.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,258.37 / $7,021.57 / $12,206.65	Facility		$2,258.37	$7,021.57	$12,206.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $452.08 / $2,364.33 / $9,287.20	Professional		$452.08	$2,364.33	$9,287.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.22 / $806.18 / $3,734.18	Professional		$334.22	$806.18	$3,734.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,676.80 / $4,094.11	Facility		$375.00	$1,676.80	$4,094.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $364.81 / $1,224.81 / $3,654.24	Professional		$364.81	$1,224.81	$3,654.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $338.90 / $1,972.67 / $3,336.11	Professional		$338.90	$1,972.67	$3,336.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,586.42 / $2,399.33 / $2,711.16	Facility		$1,586.42	$2,399.33	$2,711.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,728.83 / $1,728.83 / $1,806.11	Facility		$1,728.83	$1,728.83	$1,806.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $445.29 / $1,485.96 / $3,431.56	Professional		$445.29	$1,485.96	$3,431.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,460.79 / $9,027.82 / $17,279.07	Facility		$6,460.79	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $452.08 / $929.74 / $3,067.20	Professional		$452.08	$929.74	$3,067.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,623.00 / $12,835.00	Facility		$2,155.00	$3,623.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,510.87 / $2,505.60 / $3,916.36	Professional		$1,510.87	$2,505.60	$3,916.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $254.51 / $254.51 / $1,402.87	Professional		$254.51	$254.51	$1,402.87