Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,069.61 / $4,011.00 / $18,711.00	Facility		$1,069.61	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $556.48 / $732.19 / $1,627.01	Professional		$556.48	$732.19	$1,627.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $791.84 / $2,679.44 / $16,394.00	Facility		$791.84	$2,679.44	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $867.54 / $1,372.99 / $5,118.45	Professional		$867.54	$1,372.99	$5,118.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $670.00 / $761.81	Facility		$625.25	$670.00	$761.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.87 / $1,048.60 / $1,755.61	Professional		$635.87	$1,048.60	$1,755.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $579.29 / $1,205.97 / $1,511.52	Facility		$579.29	$1,205.97	$1,511.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $573.54 / $1,162.75 / $1,516.80	Professional		$573.54	$1,162.75	$1,516.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $842.37 / $1,474.67	Professional		$148.47	$842.37	$1,474.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $793.31 / $1,095.90 / $1,183.91	Facility		$793.31	$1,095.90	$1,183.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $791.84 / $791.84 / $803.41	Facility		$791.84	$791.84	$803.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.21 / $1,278.07 / $1,594.68	Professional		$901.21	$1,278.07	$1,594.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,732.95 / $5,732.95 / $7,222.64	Facility		$5,732.95	$5,732.95	$7,222.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $807.58 / $1,143.55 / $1,539.81	Professional		$807.58	$1,143.55	$1,539.81
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.55 / $964.70 / $1,711.65	Professional		$728.55	$964.70	$1,711.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $488.64 / $488.64 / $615.16	Professional		$488.64	$488.64	$615.16