Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.07 / $4,011.00 / $18,711.00	Facility		$1,239.07	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.55 / $910.78 / $1,886.28	Professional		$644.55	$910.78	$1,886.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $929.54 / $3,100.31 / $16,394.00	Facility		$929.54	$3,100.31	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,004.07 / $1,600.61 / $5,920.43	Professional		$1,004.07	$1,600.61	$5,920.43
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 $735.91 / $1,214.08 / $2,031.48	Professional		$735.91	$1,214.08	$2,031.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $657.82 / $1,316.91 / $1,685.92	Facility		$657.82	$1,316.91	$1,685.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $657.82 / $1,316.91 / $1,713.28	Professional		$657.82	$1,316.91	$1,713.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $175.34 / $992.90 / $1,740.59	Professional		$175.34	$992.90	$1,740.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $934.43 / $1,307.17 / $1,362.78	Facility		$934.43	$1,307.17	$1,362.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $916.87 / $916.87 / $929.54	Facility		$916.87	$916.87	$929.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.04 / $1,497.76 / $1,845.04	Professional		$1,044.04	$1,497.76	$1,845.04
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 $935.09 / $1,323.08 / $1,782.06	Professional		$935.09	$1,323.08	$1,782.06
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 $850.40 / $1,117.59 / $1,961.90	Professional		$850.40	$1,117.59	$1,961.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $565.39 / $565.39 / $711.97	Professional		$565.39	$565.39	$711.97