Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.98 / $5,128.00 / $21,917.86	Facility		$1,083.98	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.91 / $752.65 / $1,630.45	Professional		$516.91	$752.65	$1,630.45
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 $829.32 / $1,363.83 / $5,112.60	Professional		$829.32	$1,363.83	$5,112.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $6,910.09	Facility		$883.20	$1,075.31	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.51 / $1,056.91 / $1,787.72	Professional		$579.51	$1,056.91	$1,787.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $577.24 / $1,194.07 / $6,059.92	Facility		$577.24	$1,194.07	$6,059.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $550.55 / $1,168.16 / $5,218.14	Professional		$550.55	$1,168.16	$5,218.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $361.27 / $1,132.61	Professional		$78.54	$361.27	$1,132.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $796.03 / $1,100.81 / $1,181.21	Facility		$796.03	$1,100.81	$1,181.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $784.60 / $805.69 / $5,317.93	Facility		$784.60	$805.69	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $900.18 / $1,281.70 / $1,599.22	Professional		$900.18	$1,281.70	$1,599.22
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 $800.18 / $1,146.80 / $1,541.76	Professional		$800.18	$1,146.80	$1,541.76
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 $673.20 / $963.59 / $1,691.55	Professional		$673.20	$963.59	$1,691.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $491.40 / $491.40 / $643.69	Professional		$491.40	$491.40	$643.69