Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.83 / $5,128.00 / $20,680.40	Facility		$1,048.83	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.61 / $727.90 / $1,580.68	Professional		$483.61	$727.90	$1,580.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,400.95 / $19,913.50 / $38,781.51	Facility		$6,400.95	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $809.56 / $1,320.00 / $5,011.13	Professional		$809.56	$1,320.00	$5,011.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $582.73 / $1,022.64 / $1,742.51	Professional		$582.73	$1,022.64	$1,742.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $596.38 / $1,211.54 / $7,292.72	Facility		$596.38	$1,211.54	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.05 / $1,160.72 / $6,279.70	Professional		$540.05	$1,160.72	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $317.80 / $1,132.97	Professional		$77.42	$317.80	$1,132.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.65 / $1,072.00 / $1,153.07	Facility		$776.65	$1,072.00	$1,153.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.78 / $786.50 / $6,526.97	Facility		$758.78	$786.50	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.43 / $1,251.17 / $1,561.12	Professional		$872.43	$1,251.17	$1,561.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $773.85 / $1,119.47 / $1,494.24	Professional		$773.85	$1,119.47	$1,494.24
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 $687.46 / $930.03 / $1,613.09	Professional		$687.46	$930.03	$1,613.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $479.80 / $479.80 / $628.00	Professional		$479.80	$479.80	$628.00