Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.84 / $1,961.74 / $14,464.32	Facility		$374.84	$1,961.74	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.96 / $696.39 / $1,578.99	Professional		$201.96	$696.39	$1,578.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,390.69 / $4,418.06	Facility		$55.00	$2,390.69	$4,418.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $338.01 / $1,487.44 / $5,779.92	Professional		$338.01	$1,487.44	$5,779.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $1,223.70 / $1,499.24	Facility		$714.97	$1,223.70	$1,499.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $268.69 / $675.45 / $2,341.69	Professional		$268.69	$675.45	$2,341.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $291.52 / $1,010.11 / $2,524.06	Facility		$291.52	$1,010.11	$2,524.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.95 / $894.97 / $2,294.58	Professional		$282.95	$894.97	$2,294.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $877.44 / $1,807.93	Professional		$96.92	$877.44	$1,807.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $956.32 / $1,495.97 / $1,815.70	Facility		$956.32	$1,495.97	$1,815.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $749.59 / $1,068.47 / $1,113.47	Facility		$749.59	$1,068.47	$1,113.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.27 / $976.12 / $2,120.80	Professional		$328.27	$976.12	$2,120.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,554.42 / $3,344.18 / $6,397.05	Facility		$2,554.42	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $340.59 / $756.06 / $1,815.46	Professional		$340.59	$756.06	$1,815.46
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 $983.97 / $1,513.80 / $2,422.08	Professional		$983.97	$1,513.80	$2,422.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $216.40 / $626.95 / $870.69	Professional		$216.40	$626.95	$870.69