Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.93 / $1,359.65 / $17,100.00	Facility		$694.93	$1,359.65	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.00 / $560.73 / $1,325.49	Professional		$346.00	$560.73	$1,325.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,330.16 / $8,921.56 / $17,453.22	Facility		$1,330.16	$8,921.56	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $581.54 / $1,056.18 / $3,952.64	Professional		$581.54	$1,056.18	$3,952.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $3,302.92	Facility		$564.00	$906.00	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.46 / $752.28 / $1,420.73	Professional		$465.46	$752.28	$1,420.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $492.59 / $809.32 / $2,225.36	Facility		$492.59	$809.32	$2,225.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.00 / $845.17 / $1,719.28	Professional		$514.00	$845.17	$1,719.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $563.21 / $1,235.00	Professional		$45.48	$563.21	$1,235.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.21 / $972.84 / $1,072.00	Facility		$645.21	$972.84	$1,072.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $710.30 / $731.20 / $1,330.16	Facility		$710.30	$731.20	$1,330.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.26 / $880.56 / $1,340.32	Professional		$528.26	$880.56	$1,340.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $581.54 / $838.88 / $1,237.10	Professional		$581.54	$838.88	$1,237.10
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.50 / $764.92 / $1,612.05	Professional		$615.50	$764.92	$1,612.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $412.03 / $412.03 / $593.55	Professional		$412.03	$412.03	$593.55