Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $837.88 / $4,011.00 / $18,711.00	Facility		$837.88	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $461.89 / $837.88 / $1,591.97	Professional		$461.89	$837.88	$1,591.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $988.38 / $7,547.82 / $15,403.47	Facility		$988.38	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $885.65 / $1,533.65 / $5,677.65	Professional		$885.65	$1,533.65	$5,677.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,846.84	Facility		$644.92	$1,110.00	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $722.03 / $1,092.54 / $1,985.46	Professional		$722.03	$1,092.54	$1,985.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $775.26 / $1,273.63 / $2,604.02	Facility		$775.26	$1,273.63	$2,604.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.31 / $1,283.67 / $2,496.58	Professional		$794.31	$1,283.67	$2,496.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $370.10 / $1,297.87	Professional		$71.55	$370.10	$1,297.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $821.21 / $1,139.22 / $1,311.86	Facility		$821.21	$1,139.22	$1,311.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $868.40 / $894.81 / $1,241.82	Facility		$868.40	$894.81	$1,241.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.81 / $1,481.47 / $1,776.10	Professional		$894.81	$1,481.47	$1,776.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $875.30 / $1,203.19 / $1,668.42	Professional		$875.30	$1,203.19	$1,668.42
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 $730.33 / $963.56 / $1,861.34	Professional		$730.33	$963.56	$1,861.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $715.69 / $715.69 / $715.69	Professional		$715.69	$715.69	$715.69