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 $413.06 / $594.39 / $1,204.97	Professional		$413.06	$594.39	$1,204.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $7,865.14 / $11,933.63	Facility		$55.00	$7,865.14	$11,933.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $664.81 / $1,088.41 / $4,047.45	Professional		$664.81	$1,088.41	$4,047.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $3,763.00	Facility		$500.00	$870.49	$3,763.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.02 / $812.31 / $1,368.96	Professional		$496.02	$812.31	$1,368.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $503.62 / $980.42 / $3,442.03	Facility		$503.62	$980.42	$3,442.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.12 / $925.85 / $2,535.34	Professional		$437.12	$925.85	$2,535.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $611.70 / $1,123.50	Professional		$62.41	$611.70	$1,123.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $653.66 / $878.27 / $921.25	Facility		$653.66	$878.27	$921.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $619.25 / $1,256.68 / $2,239.30	Facility		$619.25	$1,256.68	$2,239.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.16 / $1,043.95 / $1,260.04	Professional		$656.16	$1,043.95	$1,260.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,857.48 / $9,032.98 / $17,279.07	Facility		$5,857.48	$9,032.98	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $731.35 / $903.93 / $1,190.75	Professional		$731.35	$903.93	$1,190.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.16 / $774.88 / $1,324.66	Professional		$482.16	$774.88	$1,324.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $382.35 / $481.41 / $481.41	Professional		$382.35	$481.41	$481.41