Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.16 / $4,011.00 / $18,711.00	Facility		$785.16	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.19 / $539.23 / $1,198.49	Professional		$400.19	$539.23	$1,198.49
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 $620.04 / $1,013.77 / $3,811.20	Professional		$620.04	$1,013.77	$3,811.20
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 $458.80 / $765.56 / $1,297.98	Professional		$458.80	$765.56	$1,297.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $457.69 / $940.55 / $1,921.26	Facility		$457.69	$940.55	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $427.83 / $902.94 / $1,654.39	Professional		$427.83	$902.94	$1,654.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $446.81 / $965.30	Professional		$80.87	$446.81	$965.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $632.40 / $819.41 / $869.66	Facility		$632.40	$819.41	$869.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $581.65 / $593.19 / $1,795.87	Facility		$581.65	$593.19	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.26 / $950.16 / $1,177.42	Professional		$661.26	$950.16	$1,177.42
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 $593.21 / $851.06 / $1,124.07	Professional		$593.21	$851.06	$1,124.07
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 $535.36 / $707.85 / $1,242.59	Professional		$535.36	$707.85	$1,242.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.71 / $359.71 / $457.65	Professional		$359.71	$359.71	$457.65