Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,169.17 / $5,128.00 / $21,917.86	Facility		$1,169.17	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.52 / $808.95 / $1,759.12	Professional		$585.52	$808.95	$1,759.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,555.68 / $19,913.50 / $38,781.51	Facility		$5,555.68	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $900.35 / $1,483.57 / $5,571.60	Professional		$900.35	$1,483.57	$5,571.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.87 / $1,139.97 / $1,935.53	Professional		$651.87	$1,139.97	$1,935.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $663.37 / $1,342.54 / $6,675.67	Facility		$663.37	$1,342.54	$6,675.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.64 / $1,297.75 / $6,279.70	Professional		$602.64	$1,297.75	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.17 / $251.99 / $1,224.44	Professional		$58.17	$251.99	$1,224.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $861.93 / $1,191.93 / $1,282.38	Facility		$861.93	$1,191.93	$1,282.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.66 / $874.70 / $9,029.83	Facility		$846.66	$874.70	$9,029.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.16 / $1,391.48 / $1,736.19	Professional		$974.16	$1,391.48	$1,736.19
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 $863.48 / $1,245.02 / $1,668.48	Professional		$863.48	$1,245.02	$1,668.48
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 $757.27 / $1,034.32 / $1,801.20	Professional		$757.27	$1,034.32	$1,801.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $533.64 / $533.64 / $695.80	Professional		$533.64	$533.64	$695.80