Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $844.44 / $1,598.61 / $20,680.40	Facility		$844.44	$1,598.61	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.13 / $797.40 / $1,598.61	Professional		$535.13	$797.40	$1,598.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,568.87 / $5,690.88	Facility		$55.00	$2,568.87	$5,690.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $867.15 / $1,454.12 / $5,423.40	Professional		$867.15	$1,454.12	$5,423.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $614.52 / $1,093.21 / $1,850.67	Professional		$614.52	$1,093.21	$1,850.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $566.05 / $1,059.08 / $1,861.87	Facility		$566.05	$1,059.08	$1,861.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $566.05 / $1,059.08 / $1,505.38	Professional		$566.05	$1,059.08	$1,505.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $706.18 / $1,423.69	Professional		$98.67	$706.18	$1,423.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $827.12 / $1,125.95 / $1,236.15	Facility		$827.12	$1,125.95	$1,236.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.80 / $830.80 / $843.17	Facility		$830.80	$830.80	$843.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.82 / $1,394.73 / $1,683.43	Professional		$875.82	$1,394.73	$1,683.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,814.55 / $2,568.87 / $4,913.96	Facility		$1,814.55	$2,568.87	$4,913.96
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $981.19 / $1,212.90 / $1,584.86	Professional		$981.19	$1,212.90	$1,584.86
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 $632.29 / $1,033.68 / $1,759.88	Professional		$632.29	$1,033.68	$1,759.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $511.83 / $657.51 / $657.51	Professional		$511.83	$657.51	$657.51