Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,054.84 / $4,011.00 / $18,711.00	Facility		$1,054.84	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $527.91 / $730.57 / $1,588.73	Professional		$527.91	$730.57	$1,588.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,522.34 / $17,546.59	Facility		$2,961.46	$9,522.34	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $813.32 / $1,337.13 / $5,034.83	Professional		$813.32	$1,337.13	$5,034.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $4,824.78	Facility		$625.25	$761.81	$4,824.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $585.70 / $1,028.51 / $1,749.74	Professional		$585.70	$1,028.51	$1,749.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $566.37 / $1,165.80 / $4,231.18	Facility		$566.37	$1,165.80	$4,231.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.91 / $1,148.09 / $3,643.42	Professional		$536.91	$1,148.09	$3,643.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $361.27 / $1,132.61	Professional		$78.54	$361.27	$1,132.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $779.56 / $1,078.03 / $1,158.43	Facility		$779.56	$1,078.03	$1,158.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $763.31 / $790.15 / $2,961.46	Facility		$763.31	$790.15	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $878.08 / $1,256.98 / $1,568.38	Professional		$878.08	$1,256.98	$1,568.38
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 $778.47 / $1,124.68 / $1,503.92	Professional		$778.47	$1,124.68	$1,503.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $675.00 / $890.99 / $1,650.03	Professional		$675.00	$890.99	$1,650.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $481.19 / $629.11	Professional		$481.19	$481.19	$629.11