Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.47 / $1,505.59 / $14,464.32	Facility		$120.47	$1,505.59	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $385.58 / $1,154.49	Professional		$60.77	$385.58	$1,154.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,082.64 / $4,418.06	Facility		$55.00	$2,082.64	$4,418.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $1,177.51 / $4,717.04	Professional		$105.55	$1,177.51	$4,717.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $1,311.67	Facility		$500.00	$870.49	$1,311.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.89 / $340.00 / $1,817.25	Professional		$86.89	$340.00	$1,817.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.18 / $741.02 / $1,694.45	Facility		$90.18	$741.02	$1,694.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $615.66 / $1,586.66	Professional		$87.12	$615.66	$1,586.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $985.92 / $1,677.37	Professional		$159.97	$985.92	$1,677.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $704.30 / $1,183.22 / $1,287.07	Facility		$704.30	$1,183.22	$1,287.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.54 / $877.90 / $948.58	Facility		$587.54	$877.90	$948.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.53 / $278.52 / $1,713.10	Professional		$108.53	$278.52	$1,713.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,168.55 / $3,344.18 / $6,397.05	Facility		$2,168.55	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.07 / $664.89 / $1,491.66	Professional		$110.07	$664.89	$1,491.66
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 $636.48 / $1,101.42 / $1,911.70	Professional		$636.48	$1,101.42	$1,911.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $505.48 / $714.77	Professional		$70.34	$505.48	$714.77