Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.00 / $5,132.00 / $22,024.00	Facility		$951.00	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.95 / $713.71 / $1,541.30	Professional		$509.95	$713.71	$1,541.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $724.35 / $18,220.34 / $35,644.43	Facility		$724.35	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $745.58 / $1,161.70 / $5,626.96	Professional		$745.58	$1,161.70	$5,626.96
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 $573.91 / $948.82 / $1,567.14	Professional		$573.91	$948.82	$1,567.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $575.55 / $1,070.73 / $1,446.37	Facility		$575.55	$1,070.73	$1,446.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $520.79 / $1,031.60 / $1,407.15	Professional		$520.79	$1,031.60	$1,407.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.55 / $390.48 / $1,047.78	Professional		$50.55	$390.48	$1,047.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $771.81 / $1,004.28 / $1,074.40	Facility		$771.81	$1,004.28	$1,074.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.74 / $715.74 / $724.35	Facility		$715.74	$715.74	$724.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $809.75 / $1,169.20 / $1,437.75	Professional		$809.75	$1,169.20	$1,437.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $729.96 / $1,031.01 / $1,375.97	Professional		$729.96	$1,031.01	$1,375.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $661.92 / $901.32 / $1,535.74	Professional		$661.92	$901.32	$1,535.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $439.22 / $439.22 / $542.09	Professional		$439.22	$439.22	$542.09