Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.33 / $4,011.00 / $18,711.00	Facility		$949.33	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.41 / $657.44 / $1,415.80	Professional		$474.41	$657.44	$1,415.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,303.88 / $9,172.83 / $17,546.59	Facility		$3,303.88	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $730.53 / $1,168.74 / $4,521.00	Professional		$730.53	$1,168.74	$4,521.00
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 $523.49 / $925.62 / $1,574.15	Professional		$523.49	$925.62	$1,574.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $519.82 / $1,066.56 / $3,280.24	Facility		$519.82	$1,066.56	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.30 / $1,041.82 / $2,824.57	Professional		$485.30	$1,041.82	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $299.93 / $998.62	Professional		$76.14	$299.93	$998.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $700.21 / $959.44 / $1,040.51	Facility		$700.21	$959.44	$1,040.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.94 / $709.72 / $2,961.46	Facility		$684.94	$709.72	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.20 / $1,129.03 / $1,408.73	Professional		$789.20	$1,129.03	$1,408.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,646.13 / $9,167.59 / $17,546.59	Facility		$5,646.13	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $698.54 / $1,010.20 / $1,351.68	Professional		$698.54	$1,010.20	$1,351.68
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 $586.50 / $812.00 / $1,483.02	Professional		$586.50	$812.00	$1,483.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $432.87 / $432.87 / $568.20	Professional		$432.87	$432.87	$568.20