Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $722.83 / $1,675.49 / $22,024.00	Facility		$722.83	$1,675.49	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.68 / $671.08 / $1,373.38	Professional		$466.68	$671.08	$1,373.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,036.84 / $16,227.47 / $31,745.76	Facility		$3,036.84	$16,227.47	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $705.25 / $1,070.95 / $4,991.29	Professional		$705.25	$1,070.95	$4,991.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $6,910.09	Facility		$625.25	$761.81	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.26 / $935.45 / $1,534.14	Professional		$551.26	$935.45	$1,534.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $581.36 / $1,058.20 / $5,185.60	Facility		$581.36	$1,058.20	$5,185.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $571.14 / $1,036.75 / $2,997.94	Professional		$571.14	$1,036.75	$2,997.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $299.09 / $1,100.90	Professional		$76.14	$299.09	$1,100.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $699.13 / $1,073.33 / $1,192.59	Facility		$699.13	$1,073.33	$1,192.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.55 / $736.68 / $5,317.93	Facility		$717.55	$736.68	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.25 / $1,010.08 / $1,348.76	Professional		$705.25	$1,010.08	$1,348.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $624.20 / $942.29 / $1,326.34	Professional		$624.20	$942.29	$1,326.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.36 / $887.97 / $1,543.68	Professional		$675.36	$887.97	$1,543.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $457.44 / $485.37 / $614.02	Professional		$457.44	$485.37	$614.02