Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,066.33 / $4,011.00 / $18,711.00	Facility		$1,066.33	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $533.63 / $737.44 / $1,571.16	Professional		$533.63	$737.44	$1,571.16
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 $821.32 / $1,338.11 / $5,084.18	Professional		$821.32	$1,338.11	$5,084.18
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 $592.37 / $1,039.71 / $1,766.72	Professional		$592.37	$1,039.71	$1,766.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $580.29 / $1,188.07 / $3,280.24	Facility		$580.29	$1,188.07	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $545.65 / $1,174.83 / $2,824.57	Professional		$545.65	$1,174.83	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $359.18 / $1,150.47	Professional		$78.02	$359.18	$1,150.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $795.76 / $1,072.33 / $1,169.82	Facility		$795.76	$1,072.33	$1,169.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $771.01 / $797.92 / $2,961.46	Facility		$771.01	$797.92	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $887.67 / $1,269.33 / $1,583.80	Professional		$887.67	$1,269.33	$1,583.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $786.32 / $1,135.74 / $1,520.64	Professional		$786.32	$1,135.74	$1,520.64
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 $687.54 / $943.54 / $1,641.60	Professional		$687.54	$943.54	$1,641.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $486.15 / $486.15 / $635.28	Professional		$486.15	$486.15	$635.28