Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.02 / $1,818.24 / $13,809.00	Facility		$425.02	$1,818.24	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.23 / $550.07 / $1,572.68	Professional		$268.23	$550.07	$1,572.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,298.89 / $4,418.06	Facility		$55.00	$2,298.89	$4,418.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $384.32 / $1,409.92 / $6,034.32	Professional		$384.32	$1,409.92	$6,034.32
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 $305.52 / $743.49 / $2,407.56	Professional		$305.52	$743.49	$2,407.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $343.00 / $980.00 / $2,210.32	Facility		$343.00	$980.00	$2,210.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.36 / $759.50 / $1,795.67	Professional		$305.36	$759.50	$1,795.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $210.96 / $1,299.32 / $2,202.62	Professional		$210.96	$1,299.32	$2,202.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $558.07 / $1,451.27 / $1,642.84	Facility		$558.07	$1,451.27	$1,642.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.13 / $1,120.56 / $1,166.02	Facility		$552.13	$1,120.56	$1,166.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.71 / $938.25 / $2,158.67	Professional		$383.71	$938.25	$2,158.67
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 $400.24 / $866.18 / $1,863.77	Professional		$400.24	$866.18	$1,863.77
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 $409.48 / $1,163.24 / $2,274.71	Professional		$409.48	$1,163.24	$2,274.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.53 / $655.39 / $905.32	Professional		$243.53	$655.39	$905.32