Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $659.63 / $2,291.00 / $18,711.00	Facility		$659.63	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.78 / $621.60 / $1,278.57	Professional		$435.78	$621.60	$1,278.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,442.95 / $21,924.91	Facility		$55.00	$14,442.95	$21,924.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $681.60 / $1,083.15 / $4,468.60	Professional		$681.60	$1,083.15	$4,468.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $1,698.13 / $6,910.09	Facility		$714.97	$1,698.13	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.50 / $874.21 / $1,464.43	Professional		$487.50	$874.21	$1,464.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $543.75 / $1,043.85 / $6,320.69	Facility		$543.75	$1,043.85	$6,320.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.25 / $1,009.36 / $4,655.70	Professional		$471.25	$1,009.36	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $792.81 / $1,344.44	Professional		$132.55	$792.81	$1,344.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $677.67 / $915.28 / $975.52	Facility		$677.67	$915.28	$975.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $643.26 / $904.15 / $3,953.90	Facility		$643.26	$904.15	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $686.72 / $1,103.31 / $1,320.74	Professional		$686.72	$1,103.31	$1,320.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,595.73 / $31,745.76	Facility		$10,761.59	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $759.70 / $957.17 / $1,250.70	Professional		$759.70	$957.17	$1,250.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.10 / $797.49 / $1,399.96	Professional		$542.10	$797.49	$1,399.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $409.14 / $525.79 / $525.79	Professional		$409.14	$525.79	$525.79