Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $3,810.00 / $18,711.00	Facility		$699.00	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $413.71 / $607.55 / $1,238.09	Professional		$413.71	$607.55	$1,238.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,874.86 / $9,690.19 / $19,448.18	Facility		$1,874.86	$9,690.19	$19,448.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $672.87 / $1,103.10 / $4,143.97	Professional		$672.87	$1,103.10	$4,143.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $4,636.17	Facility		$625.25	$761.81	$4,636.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.75 / $837.18 / $1,414.87	Professional		$458.75	$837.18	$1,414.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $511.20 / $961.35 / $4,240.71	Facility		$511.20	$961.35	$4,240.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.31 / $932.17 / $3,123.63	Professional		$444.31	$932.17	$3,123.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $531.98 / $1,088.29	Professional		$90.07	$531.98	$1,088.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $649.74 / $887.08 / $944.70	Facility		$649.74	$887.08	$944.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $632.84 / $1,195.26 / $2,776.76	Facility		$632.84	$1,195.26	$2,776.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $670.56 / $1,064.50 / $1,284.83	Professional		$670.56	$1,064.50	$1,284.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,832.97 / $10,166.93 / $19,669.00	Facility		$6,832.97	$10,166.93	$19,669.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $747.40 / $926.93 / $1,217.40	Professional		$747.40	$926.93	$1,217.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $510.06 / $761.96 / $1,350.73	Professional		$510.06	$761.96	$1,350.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.02 / $504.03 / $504.03	Professional		$392.02	$504.03	$504.03