Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,252.01 / $5,128.00 / $20,680.40	Facility		$1,252.01	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $627.48 / $866.18 / $1,900.46	Professional		$627.48	$866.18	$1,900.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $964.79 / $1,563.67 / $5,969.18	Professional		$964.79	$1,563.67	$5,969.18
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 $674.19 / $1,220.75 / $2,073.14	Professional		$674.19	$1,220.75	$2,073.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $641.39 / $1,363.40 / $3,280.24	Facility		$641.39	$1,363.40	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.39 / $1,315.93 / $2,824.57	Professional		$641.39	$1,315.93	$2,824.57
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 $933.63 / $1,291.08 / $1,374.17	Facility		$933.63	$1,291.08	$1,374.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $908.72 / $937.31 / $2,961.46	Facility		$908.72	$937.31	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.53 / $1,491.08 / $1,860.46	Professional		$1,043.53	$1,491.08	$1,860.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $926.77 / $1,334.13 / $1,776.17	Professional		$926.77	$1,334.13	$1,776.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.48 / $1,065.34 / $1,929.45	Professional		$771.48	$1,065.34	$1,929.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $571.17 / $571.17 / $743.87	Professional		$571.17	$571.17	$743.87