Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,185.47 / $4,011.00 / $18,711.00	Facility		$1,185.47	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.61 / $896.90 / $1,766.58	Professional		$638.61	$896.90	$1,766.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,400.95 / $19,056.41 / $38,781.51	Facility		$6,400.95	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $912.58 / $1,487.00 / $5,647.65	Professional		$912.58	$1,487.00	$5,647.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,315.84	Facility		$625.25	$761.81	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $666.62 / $1,155.88 / $1,963.99	Professional		$666.62	$1,155.88	$1,963.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $679.56 / $1,375.24 / $7,292.72	Facility		$679.56	$1,375.24	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $649.74 / $1,331.96 / $6,279.70	Professional		$649.74	$1,331.96	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $379.81 / $1,274.73	Professional		$78.54	$379.81	$1,274.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $871.22 / $1,197.96 / $1,299.80	Facility		$871.22	$1,197.96	$1,299.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $857.98 / $886.58 / $6,526.97	Facility		$857.98	$886.58	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.50 / $1,410.38 / $1,759.77	Professional		$986.50	$1,410.38	$1,759.77
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 $875.03 / $1,261.93 / $1,689.60	Professional		$875.03	$1,261.93	$1,689.60
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 $781.77 / $1,114.49 / $1,853.75	Professional		$781.77	$1,114.49	$1,853.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $540.54 / $707.18	Professional		$540.54	$540.54	$707.18