Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,136.78 / $6,470.00 / $20,680.40	Facility		$1,136.78	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.29 / $797.84 / $1,741.39	Professional		$585.29	$797.84	$1,741.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,504.73 / $16,547.20 / $31,745.76	Facility		$5,504.73	$16,547.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $868.36 / $1,329.64 / $6,589.56	Professional		$868.36	$1,329.64	$6,589.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $6,910.09	Facility		$714.97	$870.49	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.96 / $1,115.35 / $1,886.98	Professional		$642.96	$1,115.35	$1,886.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $690.34 / $1,389.41 / $6,059.92	Facility		$690.34	$1,389.41	$6,059.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.41 / $1,337.62 / $5,218.14	Professional		$621.41	$1,337.62	$5,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $371.47 / $1,236.26	Professional		$78.68	$371.47	$1,236.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $865.34 / $1,173.17 / $1,236.82	Facility		$865.34	$1,173.17	$1,236.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $815.40 / $843.62 / $5,317.93	Facility		$815.40	$843.62	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $942.82 / $1,342.04 / $1,674.51	Professional		$942.82	$1,342.04	$1,674.51
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 $831.60 / $1,211.51 / $1,614.80	Professional		$831.60	$1,211.51	$1,614.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $769.99 / $991.09 / $1,771.69	Professional		$769.99	$991.09	$1,771.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $510.45 / $510.45 / $665.36	Professional		$510.45	$510.45	$665.36