Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $799.51 / $4,011.00 / $18,711.00	Facility		$799.51	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.84 / $543.38 / $1,183.65	Professional		$397.84	$543.38	$1,183.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $11,500.00 / $49,418.94 / $96,678.15	Facility		$11,500.00	$49,418.94	$96,678.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $628.45 / $1,013.96 / $8,570.73	Professional		$628.45	$1,013.96	$8,570.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $36,801.61	Facility		$625.25	$761.81	$36,801.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.23 / $779.54 / $1,331.96	Professional		$437.23	$779.54	$1,331.96
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $390.80 / $803.11 / $32,273.78	Facility		$390.80	$803.11	$32,273.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.80 / $800.84 / $27,790.66	Professional		$390.80	$800.84	$27,790.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $362.35 / $963.83	Professional		$73.16	$362.35	$963.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $559.58 / $821.42 / $895.12	Facility		$559.58	$821.42	$895.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.73 / $610.54 / $29,917.03	Facility		$585.73	$610.54	$29,917.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.67 / $971.27 / $1,211.89	Professional		$676.67	$971.27	$1,211.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36,878.56 / $50,540.44 / $96,678.15	Facility		$36,878.56	$50,540.44	$96,678.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $597.37 / $869.04 / $1,158.96	Professional		$597.37	$869.04	$1,158.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,252.00 / $12,133.00 / $35,976.00	Facility		$4,252.00	$12,133.00	$35,976.00
United Facility/Professional Professional Modifier Low / Median / High Price $492.79 / $714.55 / $1,251.14	Professional		$492.79	$714.55	$1,251.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.58 / $371.58 / $478.09	Professional		$371.58	$371.58	$478.09