Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,005.75 / $5,132.00 / $22,024.00	Facility		$1,005.75	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.04 / $704.82 / $1,523.82	Professional		$549.04	$704.82	$1,523.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,238.26 / $16,547.20 / $31,745.76	Facility		$5,238.26	$16,547.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $760.17 / $1,183.72 / $4,935.14	Professional		$760.17	$1,183.72	$4,935.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $6,910.09	Facility		$1,005.16	$1,223.70	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.80 / $1,024.57 / $1,651.70	Professional		$585.80	$1,024.57	$1,651.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $608.13 / $1,232.89 / $6,059.92	Facility		$608.13	$1,232.89	$6,059.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.65 / $1,190.39 / $5,218.14	Professional		$559.65	$1,190.39	$5,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $316.63 / $1,137.39	Professional		$77.42	$316.63	$1,137.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $795.06 / $1,051.94 / $1,099.47	Facility		$795.06	$1,051.94	$1,099.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.99 / $738.51 / $5,317.93	Facility		$722.99	$738.51	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.76 / $1,181.04 / $1,465.87	Professional		$828.76	$1,181.04	$1,465.87
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 $737.35 / $1,051.31 / $1,419.44	Professional		$737.35	$1,051.31	$1,419.44
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 $677.46 / $880.54 / $1,557.35	Professional		$677.46	$880.54	$1,557.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $445.30 / $445.30 / $593.53	Professional		$445.30	$445.30	$593.53