Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.09 / $5,128.00 / $20,680.40	Facility		$1,113.09	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.55 / $770.56 / $1,677.82	Professional		$575.55	$770.56	$1,677.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,589.03 / $11,500.00	Facility		$2,701.16	$4,589.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $857.54 / $1,410.55 / $5,361.75	Professional		$857.54	$1,410.55	$5,361.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.30 / $1,085.30 / $1,844.68	Professional		$635.30	$1,085.30	$1,844.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $645.70 / $1,256.52 / $1,863.75	Facility		$645.70	$1,256.52	$1,863.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.37 / $1,231.05 / $1,704.71	Professional		$617.37	$1,231.05	$1,704.71
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 $871.15 / $1,130.96 / $1,221.41	Facility		$871.15	$1,130.96	$1,221.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $805.43 / $1,613.81	Facility		$537.44	$805.43	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $926.90 / $1,325.32 / $1,653.64	Professional		$926.90	$1,325.32	$1,653.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,589.03 / $8,712.50	Facility		$3,434.81	$4,589.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $821.44 / $1,185.83 / $1,578.72	Professional		$821.44	$1,185.83	$1,578.72
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 $735.47 / $980.97 / $1,739.39	Professional		$735.47	$980.97	$1,739.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $507.97 / $507.97 / $663.56	Professional		$507.97	$507.97	$663.56