Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $666.19 / $5,128.00 / $18,800.00	Facility		$666.19	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.07 / $666.19 / $1,288.80	Professional		$417.07	$666.19	$1,288.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.35 / $7,929.30 / $26,542.00	Facility		$1,641.35	$7,929.30	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $679.44 / $1,148.70 / $4,299.00	Professional		$679.44	$1,148.70	$4,299.00
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 $472.26 / $865.30 / $1,470.44	Professional		$472.26	$865.30	$1,470.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $506.40 / $968.60 / $3,028.83	Facility		$506.40	$968.60	$3,028.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $448.07 / $930.40 / $2,230.98	Professional		$448.07	$930.40	$2,230.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $536.30 / $1,131.35	Professional		$89.84	$536.30	$1,131.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $660.03 / $895.79 / $980.21	Facility		$660.03	$895.79	$980.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.13 / $1,208.98 / $1,915.04	Facility		$654.13	$1,208.98	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $688.20 / $1,101.78 / $1,328.18	Professional		$688.20	$1,101.78	$1,328.18
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 $772.54 / $961.78 / $1,254.30	Professional		$772.54	$961.78	$1,254.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,038.00 / $9,506.99 / $14,042.73	Facility		$2,038.00	$9,506.99	$14,042.73
United Facility/Professional Professional Modifier Low / Median / High Price $495.15 / $796.40 / $1,398.05	Professional		$495.15	$796.40	$1,398.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $406.93 / $525.51 / $525.51	Professional		$406.93	$525.51	$525.51