Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.65 / $5,128.00 / $21,917.86	Facility		$1,300.65	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.86 / $930.76 / $2,115.69	Professional		$704.86	$930.76	$2,115.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $949.19 / $14,791.76 / $28,937.08	Facility		$949.19	$14,791.76	$28,937.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $977.02 / $1,637.63 / $5,939.93	Professional		$977.02	$1,637.63	$5,939.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $767.61 / $1,320.82 / $2,154.34	Professional		$767.61	$1,320.82	$2,154.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $715.52 / $1,439.64 / $2,012.19	Facility		$715.52	$1,439.64	$2,012.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $700.44 / $1,388.04 / $1,868.67	Professional		$700.44	$1,388.04	$1,868.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $437.68 / $1,382.34	Professional		$78.81	$437.68	$1,382.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,023.26 / $1,370.88 / $1,415.04	Facility		$1,023.26	$1,370.88	$1,415.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $940.43 / $940.43 / $949.19	Facility		$940.43	$940.43	$949.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,068.19 / $1,509.98 / $1,884.05	Professional		$1,068.19	$1,509.98	$1,884.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,555.00 / $15,127.44 / $28,937.08	Facility		$11,555.00	$15,127.44	$28,937.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $959.11 / $1,351.04 / $1,824.34	Professional		$959.11	$1,351.04	$1,824.34
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 $836.63 / $1,135.43 / $2,000.95	Professional		$836.63	$1,135.43	$2,000.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $578.09 / $578.09 / $772.10	Professional		$578.09	$578.09	$772.10