Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $339.67 / $1,234.07 / $17,930.00	Facility		$339.67	$1,234.07	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.50 / $258.95 / $673.71	Professional		$169.50	$258.95	$673.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,497.26 / $7,123.96	Facility		$55.00	$3,497.26	$7,123.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $300.67 / $1,019.42 / $3,924.32	Professional		$300.67	$1,019.42	$3,924.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $2,046.84	Facility		$714.97	$918.00	$2,046.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.16 / $427.98 / $1,570.91	Professional		$214.16	$427.98	$1,570.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $218.94 / $408.67 / $1,856.66	Facility		$218.94	$408.67	$1,856.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.80 / $394.05 / $1,576.13	Professional		$191.80	$394.05	$1,576.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $610.99 / $1,252.05	Professional		$49.05	$610.99	$1,252.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $265.08 / $382.16 / $1,077.35	Facility		$265.08	$382.16	$1,077.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.59 / $734.86 / $1,167.02	Facility		$254.59	$734.86	$1,167.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.69 / $534.07 / $1,362.84	Professional		$301.69	$534.07	$1,362.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,497.26 / $5,392.38 / $10,315.01	Facility		$3,497.26	$5,392.38	$10,315.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $300.67 / $438.41 / $1,225.08	Professional		$300.67	$438.41	$1,225.08
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.38 / $341.36 / $1,558.00	Professional		$211.38	$341.36	$1,558.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.04 / $432.87 / $595.25	Professional		$199.04	$432.87	$595.25