Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,001.37 / $6,470.00 / $20,680.40	Facility		$1,001.37	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $477.63 / $744.48 / $1,614.74	Professional		$477.63	$744.48	$1,614.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $827.90 / $1,343.48 / $5,123.10	Professional		$827.90	$1,343.48	$5,123.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.13 / $1,049.40 / $1,780.33	Professional		$598.13	$1,049.40	$1,780.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $576.80 / $1,189.00 / $7,292.72	Facility		$576.80	$1,189.00	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.46 / $1,171.67 / $6,279.70	Professional		$547.46	$1,171.67	$6,279.70
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 $793.13 / $1,096.79 / $1,179.20	Facility		$793.13	$1,096.79	$1,179.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $779.16 / $804.32 / $6,526.97	Facility		$779.16	$804.32	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $896.58 / $1,279.52 / $1,596.50	Professional		$896.58	$1,279.52	$1,596.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $794.64 / $1,144.83 / $1,535.60	Professional		$794.64	$1,144.83	$1,535.60
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 $692.12 / $959.89 / $1,684.79	Professional		$692.12	$959.89	$1,684.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $490.57 / $490.57 / $640.15	Professional		$490.57	$490.57	$640.15