Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.12 / $5,128.00 / $21,917.86	Facility		$1,331.12	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.84 / $940.18 / $1,950.16	Professional		$666.84	$940.18	$1,950.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $978.89 / $14,791.76 / $28,937.08	Facility		$978.89	$14,791.76	$28,937.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,007.60 / $1,569.02 / $6,724.95	Professional		$1,007.60	$1,569.02	$6,724.95
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 $719.71 / $1,297.88 / $2,196.69	Professional		$719.71	$1,297.88	$2,196.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $687.68 / $1,359.01 / $2,003.22	Facility		$687.68	$1,359.01	$2,003.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $687.68 / $1,311.18 / $1,833.52	Professional		$687.68	$1,311.18	$1,833.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $398.36 / $1,419.70	Professional		$78.68	$398.36	$1,419.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $949.14 / $1,312.53 / $1,435.14	Facility		$949.14	$1,312.53	$1,435.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.33 / $970.33 / $978.89	Facility		$970.33	$970.33	$978.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.67 / $1,585.08 / $1,943.01	Professional		$1,104.67	$1,585.08	$1,943.01
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 $989.60 / $1,393.32 / $1,879.84	Professional		$989.60	$1,393.32	$1,879.84
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 $830.40 / $1,122.70 / $2,055.23	Professional		$830.40	$1,122.70	$2,055.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $597.41 / $597.41 / $784.36	Professional		$597.41	$597.41	$784.36