Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $922.14 / $1,613.58 / $22,024.00	Facility		$922.14	$1,613.58	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.71 / $922.14 / $1,752.07	Professional		$517.71	$922.14	$1,752.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,580.50 / $16,227.47 / $31,745.76	Facility		$3,580.50	$16,227.47	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $860.48 / $1,322.08 / $4,891.20	Professional		$860.48	$1,322.08	$4,891.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $6,910.09	Facility		$1,394.89	$1,698.13	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.23 / $1,091.72 / $1,919.70	Professional		$617.23	$1,091.72	$1,919.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $593.13 / $1,158.09 / $5,185.60	Facility		$593.13	$1,158.09	$5,185.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.13 / $1,108.01 / $2,997.94	Professional		$593.13	$1,108.01	$2,997.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $397.26 / $1,355.88	Professional		$78.68	$397.26	$1,355.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $773.67 / $1,153.07 / $1,351.16	Facility		$773.67	$1,153.07	$1,351.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $900.11 / $911.26 / $5,317.93	Facility		$900.11	$911.26	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $848.10 / $1,208.96 / $1,670.37	Professional		$848.10	$1,208.96	$1,670.37
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 $780.29 / $1,140.67 / $1,644.65	Professional		$780.29	$1,140.67	$1,644.65
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 $772.00 / $1,057.08 / $1,927.14	Professional		$772.00	$1,057.08	$1,927.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $548.00 / $564.45 / $743.21	Professional		$548.00	$564.45	$743.21