Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.91 / $4,011.00 / $18,711.00	Facility		$858.91	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.02 / $604.16 / $1,292.39	Professional		$435.02	$604.16	$1,292.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,795.87 / $5,471.61 / $12,100.72	Facility		$1,795.87	$5,471.61	$12,100.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $648.21 / $1,008.05 / $4,940.10	Professional		$648.21	$1,008.05	$4,940.10
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 $493.06 / $855.86 / $1,422.31	Professional		$493.06	$855.86	$1,422.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $491.98 / $997.42 / $1,921.26	Facility		$491.98	$997.42	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.68 / $993.67 / $1,654.39	Professional		$473.68	$993.67	$1,654.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $465.75 / $1,020.40	Professional		$82.07	$465.75	$1,020.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $631.41 / $869.66 / $924.80	Facility		$631.41	$869.66	$924.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $616.08 / $1,795.87	Facility		$598.07	$616.08	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.53 / $1,001.81 / $1,249.98	Professional		$708.53	$1,001.81	$1,249.98
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 $628.32 / $905.90 / $1,211.24	Professional		$628.32	$905.90	$1,211.24
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 $550.44 / $758.44 / $1,334.14	Professional		$550.44	$758.44	$1,334.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.01 / $384.01 / $505.84	Professional		$384.01	$384.01	$505.84