Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.84 / $1,235.53 / $14,464.32	Facility		$664.84	$1,235.53	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.58 / $535.32 / $1,235.53	Professional		$339.58	$535.32	$1,235.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.27 / $8,576.15 / $12,053.91	Facility		$1,548.27	$8,576.15	$12,053.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $573.05 / $1,085.36 / $4,072.48	Professional		$573.05	$1,085.36	$4,072.48
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 $412.61 / $788.34 / $1,537.38	Professional		$412.61	$788.34	$1,537.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $435.42 / $816.75 / $2,793.98	Facility		$435.42	$816.75	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.22 / $781.85 / $1,617.24	Professional		$422.22	$781.85	$1,617.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $661.15 / $1,331.19	Professional		$49.16	$661.15	$1,331.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $653.79 / $933.66 / $1,106.17	Facility		$653.79	$933.66	$1,106.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.01 / $904.15 / $1,781.59	Facility		$742.01	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $594.12 / $906.39 / $1,401.02	Professional		$594.12	$906.39	$1,401.02
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 $598.16 / $876.33 / $1,253.93	Professional		$598.16	$876.33	$1,253.93
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 $553.66 / $874.21 / $1,571.29	Professional		$553.66	$874.21	$1,571.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $391.46 / $450.54 / $607.32	Professional		$391.46	$450.54	$607.32