Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.22 / $4,011.00 / $18,711.00	Facility		$614.22	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.67 / $423.20 / $1,108.43	Professional		$329.67	$423.20	$1,108.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,609.57 / $5,471.61 / $12,100.72	Facility		$2,609.57	$5,471.61	$12,100.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $468.99 / $716.63 / $3,232.86	Professional		$468.99	$716.63	$3,232.86
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 $400.23 / $666.36 / $1,015.70	Professional		$400.23	$666.36	$1,015.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $417.16 / $845.74 / $1,921.26	Facility		$417.16	$845.74	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.77 / $805.47 / $1,654.39	Professional		$392.77	$805.47	$1,654.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $258.40 / $713.64	Professional		$49.06	$258.40	$713.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $541.19 / $667.25 / $800.32	Facility		$541.19	$667.25	$800.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $439.41 / $455.63 / $1,795.87	Facility		$439.41	$455.63	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $508.15 / $724.82 / $904.38	Professional		$508.15	$724.82	$904.38
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 $448.14 / $651.48 / $872.97	Professional		$448.14	$651.48	$872.97
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 $421.49 / $598.89 / $954.87	Professional		$421.49	$598.89	$954.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $281.58 / $366.64	Professional		$281.58	$281.58	$366.64