Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $863.15 / $2,110.26 / $22,024.00	Facility		$863.15	$2,110.26	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.94 / $863.15 / $2,110.26	Professional		$575.94	$863.15	$2,110.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,742.32 / $9,118.81 / $20,178.18	Facility		$3,742.32	$9,118.81	$20,178.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $867.64 / $1,285.11 / $5,790.42	Professional		$867.64	$1,285.11	$5,790.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,394.89 / $1,698.13 / $5,081.99	Facility		$1,394.89	$1,698.13	$5,081.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $688.52 / $1,152.81 / $1,803.64	Professional		$688.52	$1,152.81	$1,803.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $727.32 / $1,363.00 / $3,424.01	Facility		$727.32	$1,363.00	$3,424.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $721.68 / $1,321.64 / $2,473.48	Professional		$721.68	$1,321.64	$2,473.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $370.88 / $1,262.70	Professional		$78.68	$370.88	$1,262.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $991.44 / $1,261.34 / $1,535.76	Facility		$991.44	$1,261.34	$1,535.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.50 / $850.73 / $2,412.73	Facility		$803.50	$850.73	$2,412.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.30 / $1,246.14 / $1,591.63	Professional		$868.30	$1,246.14	$1,591.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $768.77 / $1,149.93 / $1,574.68	Professional		$768.77	$1,149.93	$1,574.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,767.87 / $10,522.00	Facility		$1,547.00	$2,767.87	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $816.48 / $1,120.55 / $1,866.24	Professional		$816.48	$1,120.55	$1,866.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $531.16 / $584.61 / $705.76	Professional		$531.16	$584.61	$705.76