Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,212.67 / $5,128.00 / $20,680.40	Facility		$1,212.67	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.66 / $839.11 / $1,825.84	Professional		$607.66	$839.11	$1,825.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,713.85 / $20,273.81 / $38,781.51	Facility		$6,713.85	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $948.71 / $1,496.69 / $5,780.40	Professional		$948.71	$1,496.69	$5,780.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $10,816.98	Facility		$714.97	$870.49	$10,816.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $678.07 / $1,182.38 / $2,007.58	Professional		$678.07	$1,182.38	$2,007.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $681.21 / $1,380.39 / $8,581.82	Facility		$681.21	$1,380.39	$8,581.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $626.11 / $1,349.22 / $8,168.43	Professional		$626.11	$1,349.22	$8,168.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $384.31 / $1,333.92	Professional		$78.68	$384.31	$1,333.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $920.22 / $1,236.82 / $1,330.62	Facility		$920.22	$1,236.82	$1,330.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $879.73 / $907.60 / $10,581.24	Facility		$879.73	$907.60	$10,581.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.64 / $1,443.82 / $1,801.50	Professional		$1,010.64	$1,443.82	$1,801.50
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 $897.20 / $1,291.84 / $1,730.96	Professional		$897.20	$1,291.84	$1,730.96
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 $788.84 / $1,073.23 / $1,868.65	Professional		$788.84	$1,073.23	$1,868.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $553.79 / $553.79 / $721.26	Professional		$553.79	$553.79	$721.26