Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.53 / $4,011.00 / $18,711.00	Facility		$1,149.53	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.28 / $795.82 / $1,691.99	Professional		$559.28	$795.82	$1,691.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $860.53 / $8,957.00 / $17,546.59	Facility		$860.53	$8,957.00	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $885.76 / $1,442.74 / $5,481.38	Professional		$885.76	$1,442.74	$5,481.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.21 / $1,120.82 / $1,905.48	Professional		$616.21	$1,120.82	$1,905.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $643.79 / $1,307.21 / $3,280.24	Facility		$643.79	$1,307.21	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.00 / $1,273.09 / $2,824.57	Professional		$592.00	$1,273.09	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $369.60 / $1,198.47	Professional		$78.68	$369.60	$1,198.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $856.60 / $1,177.85 / $1,261.60	Facility		$856.60	$1,177.85	$1,261.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $832.16 / $860.53 / $2,961.46	Facility		$832.16	$860.53	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $957.21 / $1,368.94 / $1,708.07	Professional		$957.21	$1,368.94	$1,708.07
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 $848.69 / $1,224.85 / $1,630.68	Professional		$848.69	$1,224.85	$1,630.68
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 $742.99 / $1,008.34 / $1,769.86	Professional		$742.99	$1,008.34	$1,769.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $525.35 / $525.35 / $686.34	Professional		$525.35	$525.35	$686.34