Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.87 / $1,614.66 / $14,464.32	Facility		$641.87	$1,614.66	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $826.27 / $1,673.98	Professional		$335.38	$826.27	$1,673.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,795.87 / $5,471.61 / $12,000.00	Facility		$1,795.87	$5,471.61	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $640.24 / $1,409.35 / $6,548.00	Professional		$640.24	$1,409.35	$6,548.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $2,190.81	Facility		$466.83	$568.48	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.26 / $905.45 / $2,386.10	Professional		$432.26	$905.45	$2,386.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $418.97 / $816.42 / $1,686.99	Facility		$418.97	$816.42	$1,686.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.97 / $802.67 / $1,640.76	Professional		$418.97	$802.67	$1,640.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $139.36 / $947.98 / $2,042.00	Professional		$139.36	$947.98	$2,042.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $667.32 / $1,193.94 / $1,829.10	Facility		$667.32	$1,193.94	$1,829.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $871.12 / $1,795.87	Facility		$598.07	$871.12	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.76 / $1,171.97 / $1,951.95	Professional		$607.76	$1,171.97	$1,951.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $564.89 / $902.04 / $1,816.44	Professional		$564.89	$902.04	$1,816.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $748.44 / $1,069.76 / $1,790.03	Professional		$748.44	$1,069.76	$1,790.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $453.24 / $740.41 / $998.62	Professional		$453.24	$740.41	$998.62