Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.92 / $3,170.00 / $17,930.00	Facility		$602.92	$3,170.00	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.02 / $419.39 / $869.86	Professional		$301.02	$419.39	$869.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,086.87 / $5,471.61 / $12,000.00	Facility		$2,086.87	$5,471.61	$12,000.00
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $298.95 / $497.27 / $497.27	Facility	AS	$298.95	$497.27	$497.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $459.93 / $709.80 / $3,232.86	Professional		$459.93	$709.80	$3,232.86
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 $337.84 / $587.87 / $1,001.10	Professional		$337.84	$587.87	$1,001.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $339.37 / $701.01 / $1,921.26	Facility		$339.37	$701.01	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.48 / $676.77 / $1,654.39	Professional		$324.48	$676.77	$1,654.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.24 / $292.80 / $787.18	Professional		$64.24	$292.80	$787.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.88 / $616.85 / $659.28	Facility		$446.88	$616.85	$659.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $433.97 / $449.69 / $1,795.87	Facility		$433.97	$449.69	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.90 / $715.37 / $892.59	Professional		$498.90	$715.37	$892.59
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 $442.60 / $640.07 / $854.48	Professional		$442.60	$640.07	$854.48
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 $395.64 / $531.75 / $922.44	Professional		$395.64	$531.75	$922.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $274.41 / $274.41 / $358.76	Professional		$274.41	$274.41	$358.76