Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $3,810.00 / $18,711.00	Facility		$699.00	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.93 / $552.46 / $1,151.64	Professional		$382.93	$552.46	$1,151.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,694.08 / $14,638.06 / $20,574.02	Facility		$3,694.08	$14,638.06	$20,574.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $594.62 / $991.63 / $5,296.80	Professional		$594.62	$991.63	$5,296.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $7,128.48	Facility		$466.83	$568.48	$7,128.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $771.07 / $1,245.83	Professional		$459.00	$771.07	$1,245.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $481.98 / $966.23 / $6,520.45	Facility		$481.98	$966.23	$6,520.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.60 / $897.02 / $4,802.84	Professional		$424.60	$897.02	$4,802.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $490.21 / $999.05	Professional		$51.28	$490.21	$999.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $631.61 / $794.38 / $861.62	Facility		$631.61	$794.38	$861.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $570.34 / $1,256.68 / $5,276.92	Facility		$570.34	$1,256.68	$5,276.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.63 / $951.13 / $1,148.00	Professional		$603.63	$951.13	$1,148.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,573.20 / $29,789.77	Facility		$10,098.52	$15,573.20	$29,789.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $675.71 / $820.95 / $1,105.09	Professional		$675.71	$820.95	$1,105.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $5,547.00 / $18,897.00	Facility		$1,900.00	$5,547.00	$18,897.00
United Facility/Professional Professional Modifier Low / Median / High Price $488.28 / $726.16 / $1,206.88	Professional		$488.28	$726.16	$1,206.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $343.98 / $432.89 / $432.89	Professional		$343.98	$432.89	$432.89