Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.98 / $4,011.00 / $18,711.00	Facility		$734.98	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.08 / $572.11 / $1,198.65	Professional		$394.08	$572.11	$1,198.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,827.48 / $5,471.61 / $12,100.72	Facility		$1,827.48	$5,471.61	$12,100.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $653.07 / $1,061.69 / $4,200.45	Professional		$653.07	$1,061.69	$4,200.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,190.81	Facility		$625.25	$761.81	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.10 / $818.97 / $1,400.49	Professional		$442.10	$818.97	$1,400.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $424.08 / $920.02 / $1,921.26	Facility		$424.08	$920.02	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $424.08 / $885.12 / $1,654.39	Professional		$424.08	$885.12	$1,654.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $469.42 / $1,014.96	Professional		$84.18	$469.42	$1,014.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $527.73 / $787.25 / $938.00	Facility		$527.73	$787.25	$938.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $612.00 / $1,795.87	Facility		$598.07	$612.00	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.39 / $1,017.80 / $1,269.94	Professional		$708.39	$1,017.80	$1,269.94
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 $624.16 / $910.67 / $1,212.40	Professional		$624.16	$910.67	$1,212.40
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.42 / $739.88 / $1,310.04	Professional		$495.42	$739.88	$1,310.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.81 / $389.81 / $505.24	Professional		$389.81	$389.81	$505.24