Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.84 / $5,132.00 / $22,024.00	Facility		$904.84	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.93 / $629.66 / $1,652.04	Professional		$495.93	$629.66	$1,652.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $7,237.55 / $16,595.73 / $31,745.76	Facility		$7,237.55	$16,595.73	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $691.96 / $1,058.94 / $5,937.38	Professional		$691.96	$1,058.94	$5,937.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $8,890.04	Facility		$1,005.16	$1,223.70	$8,890.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $564.00 / $963.73 / $1,505.32	Professional		$564.00	$963.73	$1,505.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $584.96 / $1,173.77 / $7,053.04	Facility		$584.96	$1,173.77	$7,053.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.70 / $1,129.25 / $6,713.30	Professional		$552.70	$1,129.25	$6,713.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $288.69 / $1,015.65	Professional		$73.20	$288.69	$1,015.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $799.68 / $981.55 / $1,114.88	Facility		$799.68	$981.55	$1,114.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $648.24 / $672.25 / $7,237.55	Facility		$648.24	$672.25	$7,237.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.58 / $1,069.42 / $1,334.34	Professional		$747.58	$1,069.42	$1,334.34
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 $661.12 / $957.20 / $1,280.40	Professional		$661.12	$957.20	$1,280.40
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 $615.29 / $800.25 / $1,404.81	Professional		$615.29	$800.25	$1,404.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $415.48 / $415.48 / $543.35	Professional		$415.48	$415.48	$543.35