Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.14 / $1,535.72 / $20,680.40	Facility		$775.14	$1,535.72	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.98 / $735.85 / $1,472.77	Professional		$505.98	$735.85	$1,472.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,321.81 / $5,709.61	Facility		$55.00	$4,321.81	$5,709.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $804.85 / $1,345.89 / $5,032.50	Professional		$804.85	$1,345.89	$5,032.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $500.00 / $636.00	Facility		$466.83	$500.00	$636.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.37 / $1,013.42 / $1,712.66	Professional		$566.37	$1,013.42	$1,712.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $578.54 / $1,094.72 / $1,714.68	Facility		$578.54	$1,094.72	$1,714.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.79 / $1,051.16 / $1,411.71	Professional		$533.79	$1,051.16	$1,411.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $511.46 / $1,334.31	Professional		$81.45	$511.46	$1,334.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $778.61 / $1,036.49 / $1,146.36	Facility		$778.61	$1,036.49	$1,146.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $766.48 / $766.48 / $781.93	Facility		$766.48	$766.48	$781.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.16 / $1,291.25 / $1,558.52	Professional		$812.16	$1,291.25	$1,558.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,321.81 / $8,267.12	Facility		$2,802.50	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $905.22 / $1,124.81 / $1,468.46	Professional		$905.22	$1,124.81	$1,468.46
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 $618.26 / $959.93 / $1,638.47	Professional		$618.26	$959.93	$1,638.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $475.94 / $608.16 / $608.16	Professional		$475.94	$608.16	$608.16