Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.76 / $1,028.73 / $16,508.00	Facility		$534.76	$1,028.73	$16,508.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.06 / $447.13 / $1,133.81	Professional		$284.06	$447.13	$1,133.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,040.54 / $15,555.67 / $21,924.91	Facility		$2,040.54	$15,555.67	$21,924.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $454.22 / $862.88 / $3,220.08	Professional		$454.22	$862.88	$3,220.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $6,910.09	Facility		$625.25	$761.81	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.87 / $674.68 / $1,239.83	Professional		$369.87	$674.68	$1,239.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $394.01 / $724.64 / $5,194.27	Facility		$394.01	$724.64	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.71 / $681.11 / $1,390.31	Professional		$381.71	$681.11	$1,390.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $488.00 / $1,006.21	Professional		$48.66	$488.00	$1,006.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $578.55 / $853.58 / $884.00	Facility		$578.55	$853.58	$884.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.35 / $1,994.21 / $3,953.90	Facility		$589.35	$1,994.21	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.63 / $727.12 / $1,130.26	Professional		$475.63	$727.12	$1,130.26
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 $482.52 / $696.04 / $1,008.67	Professional		$482.52	$696.04	$1,008.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.24 / $738.92 / $1,281.73	Professional		$444.24	$738.92	$1,281.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $361.09 / $489.14	Professional		$322.20	$361.09	$489.14