Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.08 / $5,116.62 / $20,680.40	Facility		$775.08	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.61 / $542.49 / $1,092.95	Professional		$376.61	$542.49	$1,092.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,208.98 / $7,929.30 / $26,542.00	Facility		$1,208.98	$7,929.30	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $603.14 / $994.39 / $3,612.23	Professional		$603.14	$994.39	$3,612.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $3,311.26	Facility		$714.97	$918.00	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.36 / $756.67 / $1,278.81	Professional		$426.36	$756.67	$1,278.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $463.20 / $885.95 / $3,028.83	Facility		$463.20	$885.95	$3,028.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.03 / $851.03 / $2,230.98	Professional		$407.03	$851.03	$2,230.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.06 / $517.95 / $1,031.75	Professional		$89.06	$517.95	$1,031.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $595.84 / $812.71 / $842.86	Facility		$595.84	$812.71	$842.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $560.80 / $929.09 / $1,915.04	Facility		$560.80	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $599.89 / $950.36 / $1,147.08	Professional		$599.89	$950.36	$1,147.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,324.56 / $7,956.97 / $15,220.78	Facility		$5,324.56	$7,956.97	$15,220.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $662.33 / $827.01 / $1,089.43	Professional		$662.33	$827.01	$1,089.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.07 / $716.30 / $1,205.91	Professional		$448.07	$716.30	$1,205.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.61 / $458.82 / $458.82	Professional		$350.61	$458.82	$458.82