Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.18 / $4,011.00 / $18,711.00	Facility		$838.18	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.23 / $577.15 / $1,310.92	Professional		$450.23	$577.15	$1,310.92
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 $635.04 / $984.66 / $3,951.10	Professional		$635.04	$984.66	$3,951.10
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 $490.46 / $822.21 / $1,386.07	Professional		$490.46	$822.21	$1,386.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $493.72 / $1,000.95 / $1,921.26	Facility		$493.72	$1,000.95	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $452.60 / $980.24 / $1,662.21	Professional		$452.60	$980.24	$1,662.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $471.85 / $1,056.03	Professional		$82.41	$471.85	$1,056.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $640.99 / $884.40 / $920.40	Facility		$640.99	$884.40	$920.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $601.13 / $1,795.87	Facility		$598.07	$601.13	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $692.09 / $981.98 / $1,224.58	Professional		$692.09	$981.98	$1,224.58
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 $613.07 / $881.10 / $1,169.09	Professional		$613.07	$881.10	$1,169.09
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 $548.10 / $729.54 / $1,286.99	Professional		$548.10	$729.54	$1,286.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $375.73 / $375.73 / $493.08	Professional		$375.73	$375.73	$493.08