Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.24 / $2,436.90 / $12,214.00	Facility		$173.24	$2,436.90	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $831.40 / $2,329.29	Professional		$115.78	$831.40	$2,329.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,509.52 / $6,208.81	Facility		$55.00	$3,509.52	$6,208.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $196.17 / $2,117.53 / $9,128.95	Professional		$196.17	$2,117.53	$9,128.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.33 / $483.42 / $3,511.17	Professional		$158.33	$483.42	$3,511.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $166.08 / $661.44 / $2,711.97	Facility		$166.08	$661.44	$2,711.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.60 / $581.52 / $2,526.35	Professional		$157.60	$581.52	$2,526.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $310.99 / $1,916.84 / $3,261.39	Professional		$310.99	$1,916.84	$3,261.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,111.20 / $2,239.14 / $2,486.37	Facility		$1,111.20	$2,239.14	$2,486.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,695.93 / $1,695.93 / $1,792.97	Facility		$1,695.93	$1,695.93	$1,792.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.69 / $490.25 / $3,320.64	Professional		$192.69	$490.25	$3,320.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $4,591.92 / $8,788.86	Facility		$2,741.63	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $196.17 / $434.96 / $2,866.99	Professional		$196.17	$434.96	$2,866.99
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $887.00 / $4,611.00	Facility		$425.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,266.42 / $2,005.42 / $3,705.59	Professional		$1,266.42	$2,005.42	$3,705.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $122.92 / $992.47 / $1,401.91	Professional		$122.92	$992.47	$1,401.91