Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.86 / $1,246.77 / $14,464.32	Facility		$642.86	$1,246.77	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.49 / $499.59 / $1,047.00	Professional		$325.49	$499.59	$1,047.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,140.42 / $8,552.21 / $16,394.00	Facility		$1,140.42	$8,552.21	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $554.19 / $1,054.40 / $3,975.68	Professional		$554.19	$1,054.40	$3,975.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,302.92	Facility		$625.25	$761.81	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.89 / $767.14 / $1,501.65	Professional		$400.89	$767.14	$1,501.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $422.10 / $796.88 / $2,793.98	Facility		$422.10	$796.88	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $412.61 / $746.96 / $1,580.37	Professional		$412.61	$746.96	$1,580.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $507.16 / $1,318.76	Professional		$40.36	$507.16	$1,318.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $643.86 / $912.00 / $1,080.04	Facility		$643.86	$912.00	$1,080.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.80 / $904.15 / $1,781.59	Facility		$724.80	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $574.19 / $877.07 / $1,366.48	Professional		$574.19	$877.07	$1,366.48
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 $577.70 / $856.00 / $1,224.31	Professional		$577.70	$856.00	$1,224.31
United Facility/Professional Facility Modifier Low / Median / High Price $805.00 / $1,681.00 / $3,740.00	Facility		$805.00	$1,681.00	$3,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.54 / $871.12 / $1,558.32	Professional		$536.54	$871.12	$1,558.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.99 / $439.22 / $592.87	Professional		$378.99	$439.22	$592.87