Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.23 / $6,470.00 / $21,917.86	Facility		$978.23	$6,470.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.97 / $660.80 / $1,543.89	Professional		$498.97	$660.80	$1,543.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.02 / $15,599.20 / $31,745.76	Facility		$1,771.02	$15,599.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $735.35 / $1,143.42 / $4,864.16	Professional		$735.35	$1,143.42	$4,864.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,475.00 / $1,698.13 / $6,910.09	Facility		$1,475.00	$1,698.13	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.17 / $966.78 / $1,617.97	Professional		$551.17	$966.78	$1,617.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $565.92 / $1,147.34 / $6,059.92	Facility		$565.92	$1,147.34	$6,059.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $527.10 / $1,115.05 / $5,218.14	Professional		$527.10	$1,115.05	$5,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $344.45 / $1,054.02	Professional		$76.14	$344.45	$1,054.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $761.46 / $1,013.29 / $1,067.31	Facility		$761.46	$1,013.29	$1,067.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.79 / $728.00 / $5,317.93	Facility		$700.79	$728.00	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $810.78 / $1,158.10 / $1,445.01	Professional		$810.78	$1,158.10	$1,445.01
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 $714.71 / $1,036.22 / $1,388.64	Professional		$714.71	$1,036.22	$1,388.64
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 $629.52 / $834.48 / $1,470.58	Professional		$629.52	$834.48	$1,470.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $440.88 / $440.88 / $576.71	Professional		$440.88	$440.88	$576.71