Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.08 / $2,086.12 / $18,711.00	Facility		$1,045.08	$2,086.12	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $578.48 / $844.51 / $1,746.13	Professional		$578.48	$844.51	$1,746.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,073.49 / $5,167.93 / $11,429.12	Facility		$1,073.49	$5,167.93	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $912.74 / $1,679.54 / $5,828.24	Professional		$912.74	$1,679.54	$5,828.24
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 $798.33 / $1,228.48 / $2,177.57	Professional		$798.33	$1,228.48	$2,177.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $868.03 / $1,350.46 / $2,024.00	Facility		$868.03	$1,350.46	$2,024.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $934.00 / $1,446.01 / $2,125.62	Professional		$934.00	$1,446.01	$2,125.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.32 / $381.92 / $1,580.04	Professional		$72.32	$381.92	$1,580.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,098.96 / $1,462.09 / $1,573.83	Facility		$1,098.96	$1,462.09	$1,573.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,050.96 / $1,073.49	Facility		$759.83	$1,050.96	$1,073.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $916.32 / $1,503.11 / $1,967.76	Professional		$916.32	$1,503.11	$1,967.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $881.96 / $1,275.58 / $1,923.14	Professional		$881.96	$1,275.58	$1,923.14
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $978.25 / $1,124.82 / $2,252.25	Professional		$978.25	$1,124.82	$2,252.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.36 / $707.36 / $866.00	Professional		$707.36	$707.36	$866.00