Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.54 / $1,375.08 / $14,464.32	Facility		$182.54	$1,375.08	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.11 / $265.58 / $1,375.08	Professional		$115.11	$265.58	$1,375.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,390.69 / $4,418.06	Facility		$55.00	$2,390.69	$4,418.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $164.57 / $1,144.56 / $4,913.76	Professional		$164.57	$1,144.56	$4,913.76
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 $138.47 / $379.60 / $1,996.10	Professional		$138.47	$379.60	$1,996.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $148.97 / $827.31 / $1,777.59	Facility		$148.97	$827.31	$1,777.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $637.55 / $1,564.63	Professional		$132.30	$637.55	$1,564.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $172.80 / $1,045.96 / $1,769.08	Professional		$172.80	$1,045.96	$1,769.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.84 / $1,193.27 / $1,338.66	Facility		$233.84	$1,193.27	$1,338.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $913.09 / $953.11	Facility		$552.13	$913.09	$953.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.90 / $419.20 / $1,754.63	Professional		$163.90	$419.20	$1,754.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,408.21 / $3,344.18 / $6,397.05	Facility		$2,408.21	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $753.00 / $1,517.48	Professional		$166.77	$753.00	$1,517.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $4,087.50 / $6,745.32	Facility		$1,120.00	$4,087.50	$6,745.32
United Facility/Professional Professional Modifier Low / Median / High Price $672.27 / $1,115.39 / $1,958.03	Professional		$672.27	$1,115.39	$1,958.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.16 / $531.16 / $747.03	Professional		$106.16	$531.16	$747.03