Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.55 / $5,132.00 / $22,024.00	Facility		$1,279.55	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $643.72 / $885.02 / $1,980.18	Professional		$643.72	$885.02	$1,980.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,771.02 / $15,449.66 / $31,745.76	Facility		$1,771.02	$15,449.66	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $980.78 / $1,596.77 / $6,043.43	Professional		$980.78	$1,596.77	$6,043.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $731.12 / $1,247.59 / $2,108.27	Professional		$731.12	$1,247.59	$2,108.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $712.96 / $1,454.71 / $5,194.27	Facility		$712.96	$1,454.71	$5,194.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $672.73 / $1,445.43 / $4,127.78	Professional		$672.73	$1,445.43	$4,127.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $397.98 / $1,415.65	Professional		$78.68	$397.98	$1,415.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $968.52 / $1,310.00 / $1,396.95	Facility		$968.52	$1,310.00	$1,396.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $927.74 / $952.85 / $5,317.93	Facility		$927.74	$952.85	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,065.61 / $1,515.80 / $1,891.30	Professional		$1,065.61	$1,515.80	$1,891.30
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 $946.18 / $1,356.25 / $1,805.61	Professional		$946.18	$1,356.25	$1,805.61
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 $805.39 / $1,105.07 / $2,002.45	Professional		$805.39	$1,105.07	$2,002.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $581.40 / $581.40 / $755.52	Professional		$581.40	$581.40	$755.52