Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $999.88 / $5,128.00 / $20,680.40	Facility		$999.88	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.67 / $736.54 / $1,535.89	Professional		$532.67	$736.54	$1,535.89
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 $819.44 / $1,348.34 / $5,071.58	Professional		$819.44	$1,348.34	$5,071.58
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 $591.11 / $1,037.85 / $1,762.81	Professional		$591.11	$1,037.85	$1,762.81
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $594.21 / $1,207.17 / $3,280.24	Facility		$594.21	$1,207.17	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.69 / $1,163.61 / $2,824.57	Professional		$540.69	$1,163.61	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $359.18 / $1,150.47	Professional		$78.02	$359.18	$1,150.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $771.75 / $1,070.18 / $1,167.14	Facility		$771.75	$1,070.18	$1,167.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.65 / $796.09 / $2,961.46	Facility		$769.65	$796.09	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $886.13 / $1,266.43 / $1,580.17	Professional		$886.13	$1,266.43	$1,580.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $784.94 / $1,133.13 / $1,518.00	Professional		$784.94	$1,133.13	$1,518.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $686.69 / $931.94 / $1,638.74	Professional		$686.69	$931.94	$1,638.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $485.60 / $485.60 / $634.54	Professional		$485.60	$485.60	$634.54