Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.83 / $4,011.00 / $18,711.00	Facility		$933.83	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.10 / $634.58 / $1,372.03	Professional		$426.10	$634.58	$1,372.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,958.49 / $5,471.61 / $12,100.72	Facility		$1,958.49	$5,471.61	$12,100.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $732.41 / $1,189.09 / $4,678.13	Professional		$732.41	$1,189.09	$4,678.13
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 $501.91 / $910.51 / $1,553.93	Professional		$501.91	$910.51	$1,553.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $473.68 / $1,014.29 / $1,921.26	Facility		$473.68	$1,014.29	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.68 / $982.25 / $1,665.62	Professional		$473.68	$982.25	$1,665.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $528.38 / $1,162.68	Professional		$89.38	$528.38	$1,162.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $667.57 / $950.73 / $1,043.19	Facility		$667.57	$950.73	$1,043.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $682.22 / $1,795.87	Facility		$598.07	$682.22	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.56 / $1,131.94 / $1,412.35	Professional		$789.56	$1,131.94	$1,412.35
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 $695.77 / $1,012.79 / $1,348.36	Professional		$695.77	$1,012.79	$1,348.36
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 $563.91 / $781.62 / $1,483.98	Professional		$563.91	$781.62	$1,483.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $432.60 / $432.60 / $557.85	Professional		$432.60	$432.60	$557.85