Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.75 / $6,259.76 / $17,930.00	Facility		$1,222.75	$6,259.76	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $838.02 / $1,819.00	Professional		$585.00	$838.02	$1,819.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $895.58 / $7,547.82 / $15,403.47	Facility		$895.58	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $942.68 / $1,535.57 / $5,857.58	Professional		$942.68	$1,535.57	$5,857.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,846.84	Facility		$714.97	$870.49	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.86 / $1,192.21 / $2,011.70	Professional		$684.86	$1,192.21	$2,011.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $723.61 / $1,418.31 / $2,496.58	Facility		$723.61	$1,418.31	$2,496.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.86 / $1,393.15 / $2,192.16	Professional		$691.86	$1,393.15	$2,192.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $409.28 / $1,310.98	Professional		$78.79	$409.28	$1,310.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.50 / $1,279.03 / $1,342.68	Facility		$954.50	$1,279.03	$1,342.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $738.78 / $895.58 / $2,218.36	Facility		$738.78	$895.58	$2,218.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,026.57 / $1,462.98 / $1,817.83	Professional		$1,026.57	$1,462.98	$1,817.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $913.37 / $1,303.56 / $1,735.46	Professional		$913.37	$1,303.56	$1,735.46
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.63 / $1,094.61 / $1,929.08	Professional		$813.63	$1,094.61	$1,929.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $559.59 / $559.59 / $717.10	Professional		$559.59	$559.59	$717.10