Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.20 / $2,291.00 / $18,711.00	Facility		$672.20	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.07 / $597.17 / $1,223.99	Professional		$376.07	$597.17	$1,223.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.02 / $8,576.15 / $12,053.91	Facility		$1,689.02	$8,576.15	$12,053.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $650.25 / $1,089.20 / $3,951.98	Professional		$650.25	$1,089.20	$3,951.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,302.92	Facility		$466.83	$568.48	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.00 / $830.73 / $1,407.03	Professional		$445.00	$830.73	$1,407.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $492.63 / $951.92 / $3,021.20	Facility		$492.63	$951.92	$3,021.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.26 / $908.77 / $2,225.36	Professional		$448.26	$908.77	$2,225.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $537.13 / $1,126.52	Professional		$48.66	$537.13	$1,126.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $597.39 / $838.60 / $915.89	Facility		$597.39	$838.60	$915.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $617.44 / $904.15 / $1,781.59	Facility		$617.44	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.25 / $1,044.72 / $1,260.96	Professional		$650.25	$1,044.72	$1,260.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,118.81 / $17,453.22	Facility		$5,916.52	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $729.21 / $898.66 / $1,183.82	Professional		$729.21	$898.66	$1,183.82
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $470.06 / $744.15 / $1,304.34	Professional		$470.06	$744.15	$1,304.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $377.66 / $513.70 / $513.70	Professional		$377.66	$513.70	$513.70