Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.30 / $4,011.00 / $18,711.00	Facility		$928.30	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.23 / $642.27 / $1,430.27	Professional		$466.23	$642.27	$1,430.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,546.59	Facility		$2,961.46	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $731.36 / $1,170.25 / $4,492.64	Professional		$731.36	$1,170.25	$4,492.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $542.21 / $905.13 / $1,533.05	Professional		$542.21	$905.13	$1,533.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $532.24 / $1,100.50 / $3,280.24	Facility		$532.24	$1,100.50	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $507.85 / $1,059.32 / $2,824.57	Professional		$507.85	$1,059.32	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $286.44 / $988.21	Professional		$73.20	$286.44	$988.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $715.74 / $978.87 / $1,025.77	Facility		$715.74	$978.87	$1,025.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $686.75 / $699.67 / $2,961.46	Facility		$686.75	$699.67	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $780.98 / $1,121.83 / $1,388.77	Professional		$780.98	$1,121.83	$1,388.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $700.39 / $1,001.92 / $1,337.60	Professional		$700.39	$1,001.92	$1,337.60
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 $613.62 / $806.19 / $1,444.01	Professional		$613.62	$806.19	$1,444.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $425.42 / $425.42 / $542.70	Professional		$425.42	$425.42	$542.70