Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.22 / $7,284.92 / $18,800.00	Facility		$751.22	$7,284.92	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.20 / $546.46 / $1,654.00	Professional		$392.20	$546.46	$1,654.00
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 $585.17 / $933.13 / $3,620.03	Professional		$585.17	$933.13	$3,620.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,190.81	Facility		$714.97	$870.49	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.65 / $732.46 / $1,258.97	Professional		$410.65	$732.46	$1,258.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $411.94 / $842.95 / $1,921.26	Facility		$411.94	$842.95	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.60 / $826.41 / $1,654.39	Professional		$383.60	$826.41	$1,654.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.61 / $432.21 / $917.62	Professional		$80.61	$432.21	$917.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $555.72 / $768.49 / $833.48	Facility		$555.72	$768.49	$833.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $545.41 / $568.51 / $1,795.87	Facility		$545.41	$568.51	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.80 / $904.39 / $1,128.43	Professional		$625.80	$904.39	$1,128.43
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 $556.25 / $806.44 / $1,077.30	Professional		$556.25	$806.44	$1,077.30
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 $467.93 / $638.00 / $1,157.10	Professional		$467.93	$638.00	$1,157.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $345.08 / $345.08 / $450.82	Professional		$345.08	$345.08	$450.82