Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $963.88 / $1,733.00 / $17,100.00	Facility		$963.88	$1,733.00	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.83 / $773.47 / $1,690.02	Professional		$509.83	$773.47	$1,690.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.51 / $5,167.93 / $11,429.12	Facility		$1,040.51	$5,167.93	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $844.59 / $1,533.74 / $5,312.80	Professional		$844.59	$1,533.74	$5,312.80
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 $692.75 / $1,094.84 / $2,004.14	Professional		$692.75	$1,094.84	$2,004.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $722.83 / $1,176.14 / $1,850.62	Facility		$722.83	$1,176.14	$1,850.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $778.50 / $1,207.32 / $1,864.98	Professional		$778.50	$1,207.32	$1,864.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $312.37 / $1,418.94	Professional		$71.55	$312.37	$1,418.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $922.61 / $1,266.77 / $1,451.22	Facility		$922.61	$1,266.77	$1,451.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $989.86 / $1,040.51	Facility		$759.83	$989.86	$1,040.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $845.28 / $1,390.88 / $1,814.46	Professional		$845.28	$1,390.88	$1,814.46
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 $813.58 / $1,167.08 / $1,770.18	Professional		$813.58	$1,167.08	$1,770.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $845.83 / $1,010.87 / $2,058.66	Professional		$845.83	$1,010.87	$2,058.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $656.75 / $656.75 / $796.45	Professional		$656.75	$656.75	$796.45