Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $706.43 / $1,340.84 / $20,680.40	Facility		$706.43	$1,340.84	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $444.69 / $645.50 / $1,325.48	Professional		$444.69	$645.50	$1,325.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,920.96 / $10,512.09	Facility		$55.00	$6,920.96	$10,512.09
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $720.36 / $1,184.94 / $4,481.70	Professional		$720.36	$1,184.94	$4,481.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $1,987.56 / $3,311.26	Facility		$714.97	$1,987.56	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $497.96 / $905.24 / $1,536.68	Professional		$497.96	$905.24	$1,536.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $559.04 / $1,061.47 / $3,028.83	Facility		$559.04	$1,061.47	$3,028.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $469.97 / $975.06 / $2,230.98	Professional		$469.97	$975.06	$2,230.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.22 / $578.57 / $1,180.54	Professional		$94.22	$578.57	$1,180.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $675.71 / $931.60 / $1,022.42	Facility		$675.71	$931.60	$1,022.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $687.65 / $1,301.02 / $2,607.63	Facility		$687.65	$1,301.02	$2,607.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.36 / $1,154.29 / $1,393.21	Professional		$720.36	$1,154.29	$1,393.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,806.07 / $7,956.97 / $15,220.78	Facility		$5,806.07	$7,956.97	$15,220.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $812.13 / $1,003.19 / $1,313.50	Professional		$812.13	$1,003.19	$1,313.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $3,129.00 / $10,638.00	Facility		$1,300.00	$3,129.00	$10,638.00
United Facility/Professional Professional Modifier Low / Median / High Price $555.20 / $854.97 / $1,539.00	Professional		$555.20	$854.97	$1,539.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.25 / $553.25 / $553.25	Professional		$426.25	$553.25	$553.25