Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.94 / $1,733.00 / $13,809.00	Facility		$235.94	$1,733.00	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $577.36 / $1,178.70	Professional		$132.80	$577.36	$1,178.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,718.33 / $13,248.98	Facility		$55.00	$6,718.33	$13,248.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $217.89 / $1,166.01 / $4,609.28	Professional		$217.89	$1,166.01	$4,609.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $3,991.53	Facility		$500.00	$870.49	$3,991.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.43 / $436.32 / $1,849.24	Professional		$176.43	$436.32	$1,849.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $189.48 / $954.48 / $3,249.35	Facility		$189.48	$954.48	$3,249.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.40 / $691.19 / $2,182.79	Professional		$182.40	$691.19	$2,182.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.58 / $986.46 / $1,671.44	Professional		$159.58	$986.46	$1,671.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $783.20 / $1,200.32 / $1,342.32	Facility		$783.20	$1,200.32	$1,342.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $853.68 / $1,217.41 / $2,583.64	Facility		$853.68	$1,217.41	$2,583.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.07 / $539.98 / $1,667.38	Professional		$212.07	$539.98	$1,667.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,718.33 / $9,804.29 / $18,754.53	Facility		$6,718.33	$9,804.29	$18,754.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.58 / $897.68 / $1,488.84	Professional		$223.58	$897.68	$1,488.84
United Facility/Professional Facility Modifier Low / Median / High Price $2,759.00 / $12,234.10 / $18,070.95	Facility		$2,759.00	$12,234.10	$18,070.95
United Facility/Professional Professional Modifier Low / Median / High Price $789.70 / $1,275.97 / $1,905.61	Professional		$789.70	$1,275.97	$1,905.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.85 / $503.27 / $701.14	Professional		$134.85	$503.27	$701.14