Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.09 / $4,011.00 / $18,711.00	Facility		$1,155.09	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $590.92 / $816.29 / $1,712.50	Professional		$590.92	$816.29	$1,712.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,478.12 / $9,172.83 / $17,546.59	Facility		$3,478.12	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $908.34 / $1,498.77 / $5,619.75	Professional		$908.34	$1,498.77	$5,619.75
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 $633.88 / $1,149.78 / $1,951.94	Professional		$633.88	$1,149.78	$1,951.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $638.58 / $1,310.80 / $3,280.24	Facility		$638.58	$1,310.80	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $607.95 / $1,289.53 / $2,824.57	Professional		$607.95	$1,289.53	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $373.32 / $1,231.79	Professional		$78.68	$373.32	$1,231.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $826.07 / $1,186.57 / $1,293.77	Facility		$826.07	$1,186.57	$1,293.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $855.26 / $882.47 / $2,961.46	Facility		$855.26	$882.47	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $982.71 / $1,403.84 / $1,751.61	Professional		$982.71	$1,403.84	$1,751.61
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 $872.26 / $1,256.08 / $1,672.25	Professional		$872.26	$1,256.08	$1,672.25
United Facility/Professional Facility Modifier Low / Median / High Price $3,129.00 / $11,604.61 / $18,561.84	Facility		$3,129.00	$11,604.61	$18,561.84
United Facility/Professional Professional Modifier Low / Median / High Price $752.05 / $985.87 / $1,817.35	Professional		$752.05	$985.87	$1,817.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $538.33 / $538.33 / $701.01	Professional		$538.33	$538.33	$701.01