Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.27 / $1,319.59 / $18,711.00	Facility		$676.27	$1,319.59	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.55 / $500.72 / $1,025.72	Professional		$315.55	$500.72	$1,025.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $715.66 / $1,559.22 / $3,448.28	Facility		$715.66	$1,559.22	$3,448.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $567.10 / $1,029.47 / $3,847.36	Professional		$567.10	$1,029.47	$3,847.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.37 / $646.73 / $1,110.00	Facility		$425.37	$646.73	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.30 / $734.11 / $1,386.41	Professional		$453.30	$734.11	$1,386.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $442.39 / $726.24 / $1,245.02	Facility		$442.39	$726.24	$1,245.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $455.66 / $761.07 / $1,254.66	Professional		$455.66	$761.07	$1,254.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $447.36 / $1,216.32	Professional		$35.67	$447.36	$1,216.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $593.94 / $928.79 / $1,049.22	Facility		$593.94	$928.79	$1,049.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.79 / $699.43 / $715.66	Facility		$222.79	$699.43	$715.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $515.12 / $861.89 / $1,311.84	Professional		$515.12	$861.89	$1,311.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,120.58 / $1,549.85 / $2,982.61	Facility		$1,120.58	$1,549.85	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $567.10 / $826.04 / $1,212.08	Professional		$567.10	$826.04	$1,212.08
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $601.50 / $756.08 / $1,588.70	Professional		$601.50	$756.08	$1,588.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $403.14 / $403.14 / $585.46	Professional		$403.14	$403.14	$585.46