Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $601.29 / $1,632.84 / $14,464.32	Facility		$601.29	$1,632.84	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.69 / $584.28 / $1,660.82	Professional		$305.69	$584.28	$1,660.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $933.18 / $5,128.70 / $10,466.57	Facility		$933.18	$5,128.70	$10,466.57
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $83.61 / $151.53 / $151.53	Facility	AS	$83.61	$151.53	$151.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $582.80 / $1,287.09 / $5,049.60	Professional		$582.80	$1,287.09	$5,049.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,190.81	Facility		$714.97	$870.49	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.95 / $863.47 / $1,932.07	Professional		$413.95	$863.47	$1,932.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $416.73 / $785.40 / $1,776.74	Facility		$416.73	$785.40	$1,776.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.73 / $784.80 / $1,654.39	Professional		$416.73	$784.80	$1,654.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $716.31 / $1,535.81	Professional		$92.81	$716.31	$1,535.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $730.97 / $1,180.17 / $1,381.54	Facility		$730.97	$1,180.17	$1,381.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $933.18 / $1,795.87	Facility		$598.07	$933.18	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $942.33 / $1,711.18	Professional		$550.00	$942.33	$1,711.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,992.55 / $5,468.48 / $10,466.57	Facility		$3,992.55	$5,468.48	$10,466.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $527.73 / $951.72 / $1,625.06	Professional		$527.73	$951.72	$1,625.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,431.00 / $10,522.00	Facility		$1,471.00	$2,431.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $763.48 / $1,044.24 / $1,982.16	Professional		$763.48	$1,044.24	$1,982.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $353.95 / $561.52 / $761.60	Professional		$353.95	$561.52	$761.60