Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.32 / $4,497.00 / $14,464.32	Facility		$438.32	$4,497.00	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.07 / $530.69 / $4,780.08	Professional		$239.07	$530.69	$4,780.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,342.27 / $4,418.06	Facility		$55.00	$3,342.27	$4,418.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $411.28 / $4,252.91 / $17,262.00	Professional		$411.28	$4,252.91	$17,262.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,499.24	Facility		$500.00	$870.49	$1,499.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.80 / $720.65 / $7,043.40	Professional		$314.80	$720.65	$7,043.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,314.78 / $7,033.87	Facility		$353.00	$1,314.78	$7,033.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.04 / $1,314.78 / $7,033.87	Professional		$315.04	$1,314.78	$7,033.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $592.86 / $3,649.36 / $6,220.84	Professional		$592.86	$3,649.36	$6,220.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,782.00 / $4,397.35 / $5,591.64	Facility		$1,782.00	$4,397.35	$5,591.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $1,168.10 / $3,404.75	Facility		$552.13	$1,168.10	$3,404.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.68 / $795.75 / $6,366.03	Professional		$393.68	$795.75	$6,366.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,298.89 / $3,344.18 / $6,397.05	Facility		$2,298.89	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $410.20 / $776.85 / $5,650.02	Professional		$410.20	$776.85	$5,650.02
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 $717.06 / $4,653.34 / $7,702.09	Professional		$717.06	$4,653.34	$7,702.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $251.26 / $1,840.82 / $2,600.46	Professional		$251.26	$1,840.82	$2,600.46