Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.47 / $5,128.00 / $20,680.40	Facility		$1,120.47	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.58 / $775.84 / $1,665.33	Professional		$540.58	$775.84	$1,665.33
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 $877.06 / $1,394.98 / $5,345.18	Professional		$877.06	$1,394.98	$5,345.18
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 $649.49 / $1,092.50 / $1,857.57	Professional		$649.49	$1,092.50	$1,857.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $652.64 / $1,308.66 / $3,280.24	Facility		$652.64	$1,308.66	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $624.00 / $1,272.97 / $2,824.57	Professional		$624.00	$1,272.97	$2,824.57
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 $834.47 / $1,135.65 / $1,230.11	Facility		$834.47	$1,135.65	$1,230.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $811.32 / $839.05 / $2,961.46	Facility		$811.32	$839.05	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.06 / $1,334.77 / $1,665.44	Professional		$933.06	$1,334.77	$1,665.44
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 $827.44 / $1,194.28 / $1,589.98	Professional		$827.44	$1,194.28	$1,589.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $2,942.06 / $11,941.00	Facility		$2,155.00	$2,942.06	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.07 / $978.80 / $1,725.20	Professional		$724.07	$978.80	$1,725.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $511.28 / $511.28 / $667.78	Professional		$511.28	$511.28	$667.78