Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.77 / $1,359.17 / $22,024.00	Facility		$644.77	$1,359.17	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.68 / $644.77 / $1,396.86	Professional		$481.68	$644.77	$1,396.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $699.43 / $5,246.20 / $10,466.57	Facility		$699.43	$5,246.20	$10,466.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $1,186.74 / $4,586.63	Professional		$761.64	$1,186.74	$4,586.63
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 $549.79 / $922.21 / $1,561.46	Professional		$549.79	$922.21	$1,561.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $584.64 / $1,115.80 / $1,921.26	Facility		$584.64	$1,115.80	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.72 / $1,082.57 / $1,686.99	Professional		$526.72	$1,082.57	$1,686.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.34 / $537.79 / $1,161.31	Professional		$90.34	$537.79	$1,161.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $715.40 / $962.20 / $1,045.20	Facility		$715.40	$962.20	$1,045.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $699.43 / $1,795.87	Facility		$598.07	$699.43	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.39 / $1,142.56 / $1,415.08	Professional		$796.39	$1,142.56	$1,415.08
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 $713.33 / $1,015.94 / $1,350.96	Professional		$713.33	$1,015.94	$1,350.96
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 $624.54 / $847.59 / $1,496.52	Professional		$624.54	$847.59	$1,496.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $433.98 / $433.98 / $554.28	Professional		$433.98	$433.98	$554.28