Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,050.91 / $2,069.48 / $17,100.00	Facility		$1,050.91	$2,069.48	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.24 / $956.96 / $1,996.73	Professional		$615.24	$956.96	$1,996.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,111.42 / $5,167.93 / $11,429.12	Facility		$1,111.42	$5,167.93	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $957.16 / $1,750.79 / $6,012.38	Professional		$957.16	$1,750.79	$6,012.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $2,323.83	Facility		$564.00	$906.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.70 / $1,282.98 / $2,289.62	Professional		$812.70	$1,282.98	$2,289.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $974.83 / $1,444.24 / $2,084.06	Facility		$974.83	$1,444.24	$2,084.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $985.77 / $1,492.66 / $2,125.62	Professional		$985.77	$1,492.66	$2,125.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $377.48 / $1,563.19	Professional		$71.55	$377.48	$1,563.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,108.05 / $1,516.20 / $1,629.44	Facility		$1,108.05	$1,516.20	$1,629.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,081.76 / $1,111.42	Facility		$759.83	$1,081.76	$1,111.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $982.30 / $1,593.21 / $2,079.32	Professional		$982.30	$1,593.21	$2,079.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $937.77 / $1,352.35 / $1,971.09	Professional		$937.77	$1,352.35	$1,971.09
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,612.00 / $6,857.00	Facility		$629.00	$1,612.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $986.01 / $1,187.69 / $2,294.29	Professional		$986.01	$1,187.69	$2,294.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $750.31 / $750.31 / $881.72	Professional		$750.31	$750.31	$881.72