Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,285.76 / $4,011.00 / $18,711.00	Facility		$1,285.76	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.54 / $889.41 / $1,911.41	Professional		$673.54	$889.41	$1,911.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,056.41 / $38,781.51	Facility		$6,526.97	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $988.78 / $1,592.91 / $6,117.45	Professional		$988.78	$1,592.91	$6,117.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $705.22 / $1,253.65 / $2,130.09	Professional		$705.22	$1,253.65	$2,130.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $704.70 / $1,444.85 / $7,292.72	Facility		$704.70	$1,444.85	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.02 / $1,402.87 / $6,279.70	Professional		$653.02	$1,402.87	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $398.50 / $1,419.70	Professional		$78.68	$398.50	$1,419.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $945.21 / $1,295.10 / $1,408.34	Facility		$945.21	$1,295.10	$1,408.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $929.10 / $960.61 / $6,526.97	Facility		$929.10	$960.61	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.22 / $1,528.15 / $1,906.72	Professional		$1,069.22	$1,528.15	$1,906.72
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 $947.56 / $1,367.31 / $1,831.28	Professional		$947.56	$1,367.31	$1,831.28
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 $824.04 / $1,120.44 / $1,970.83	Professional		$824.04	$1,120.44	$1,970.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $586.09 / $586.09 / $768.47	Professional		$586.09	$586.09	$768.47