Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,109.40 / $5,128.00 / $20,680.40	Facility		$1,109.40	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.70 / $840.68 / $1,656.26	Professional		$596.70	$840.68	$1,656.26
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 $854.72 / $1,383.98 / $5,289.30	Professional		$854.72	$1,383.98	$5,289.30
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 $618.28 / $1,081.69 / $1,837.22	Professional		$618.28	$1,081.69	$1,837.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $630.29 / $1,298.71 / $7,292.72	Facility		$630.29	$1,298.71	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.59 / $1,230.32 / $6,279.70	Professional		$577.59	$1,230.32	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $361.27 / $1,174.82	Professional		$78.54	$361.27	$1,174.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $833.00 / $1,124.26 / $1,217.39	Facility		$833.00	$1,124.26	$1,217.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $804.53 / $830.37 / $6,526.97	Facility		$804.53	$830.37	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.33 / $1,320.96 / $1,648.20	Professional		$924.33	$1,320.96	$1,648.20
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 $820.51 / $1,181.92 / $1,583.12	Professional		$820.51	$1,181.92	$1,583.12
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 $736.16 / $981.90 / $1,694.87	Professional		$736.16	$981.90	$1,694.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $506.03 / $506.03 / $659.76	Professional		$506.03	$506.03	$659.76