Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $677.65 / $2,769.52 / $18,711.00	Facility		$677.65	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.81 / $451.02 / $1,287.63	Professional		$316.81	$451.02	$1,287.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,609.57 / $5,471.61 / $12,000.00	Facility		$2,609.57	$5,471.61	$12,000.00
Asuris Northwest Health Facility/Professional Facility Modifier 62 Low / Median / High Price $1,868.50 / $3,107.91 / $3,107.91	Facility	62	$1,868.50	$3,107.91	$3,107.91
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 $516.41 / $804.10 / $4,131.06	Professional		$516.41	$804.10	$4,131.06
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 $368.58 / $660.72 / $1,141.30	Professional		$368.58	$660.72	$1,141.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $358.00 / $749.45 / $1,921.26	Facility		$358.00	$749.45	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.92 / $730.73 / $1,654.39	Professional		$345.92	$730.73	$1,654.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $395.96 / $864.76	Professional		$75.26	$395.96	$864.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $505.33 / $698.81 / $757.10	Facility		$505.33	$698.81	$757.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.71 / $516.41 / $1,795.87	Facility		$484.71	$516.41	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $565.17 / $821.51 / $1,025.02	Professional		$565.17	$821.51	$1,025.02
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 $494.34 / $728.31 / $978.58	Professional		$494.34	$728.31	$978.58
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 $422.99 / $600.29 / $1,045.00	Professional		$422.99	$600.29	$1,045.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $314.72 / $314.72 / $409.58	Professional		$314.72	$314.72	$409.58