Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.64 / $6,349.00 / $20,680.40	Facility		$57.64	$6,349.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.64 / $233.36 / $4,217.00	Professional		$57.64	$233.36	$4,217.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.51 / $5,053.26 / $9,897.40	Facility		$1,040.51	$5,053.26	$9,897.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $3,817.64 / $22,830.08	Professional		$83.19	$3,817.64	$22,830.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $65.59 / $1,981.54	Professional		$65.59	$65.59	$1,981.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,749.26 / $2,612.91 / $4,313.41	Facility		$1,749.26	$2,612.91	$4,313.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.16 / $2,930.16 / $4,972.64	Professional		$169.16	$2,930.16	$4,972.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,606.61 / $9,089.45 / $16,039.90	Professional		$1,606.61	$9,089.45	$16,039.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.93 / $1,644.47 / $6,225.64	Facility		$459.93	$1,644.47	$6,225.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.70 / $2,456.17 / $4,246.43	Facility		$325.70	$2,456.17	$4,246.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $2,471.35 / $7,473.68	Professional		$82.08	$2,471.35	$7,473.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,273.61 / $5,053.26 / $9,885.68	Facility		$3,273.61	$5,053.26	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $187.89 / $6,237.64	Professional		$79.00	$187.89	$6,237.64
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,447.98 / $3,017.28 / $8,589.12	Professional		$2,447.98	$3,017.28	$8,589.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $59.22 / $7,125.41	Professional		$59.22	$59.22	$7,125.41