Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.09 / $1,733.00 / $17,100.00	Facility		$546.09	$1,733.00	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.47 / $371.63 / $816.77	Professional		$207.47	$371.63	$816.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,641.35 / $7,929.30 / $12,000.00	Facility		$1,641.35	$7,929.30	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $418.82 / $889.92 / $3,315.23	Professional		$418.82	$889.92	$3,315.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $3,311.26	Facility		$466.83	$568.48	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.47 / $544.55 / $1,155.50	Professional		$289.47	$544.55	$1,155.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $280.55 / $536.41 / $2,495.04	Facility		$280.55	$536.41	$2,495.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.39 / $494.15 / $1,196.25	Professional		$278.39	$494.15	$1,196.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $472.73 / $948.97	Professional		$49.05	$472.73	$948.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $424.83 / $631.40 / $769.16	Facility		$424.83	$631.40	$769.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $518.69 / $929.09 / $1,915.04	Facility		$518.69	$929.09	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.02 / $869.71 / $1,049.73	Professional		$540.02	$869.71	$1,049.73
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 $581.94 / $751.12 / $986.13	Professional		$581.94	$751.12	$986.13
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 $370.71 / $640.74 / $1,103.57	Professional		$370.71	$640.74	$1,103.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $319.41 / $422.39 / $422.39	Professional		$319.41	$422.39	$422.39