Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.22 / $5,128.00 / $20,680.40	Facility		$1,047.22	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.29 / $725.30 / $1,569.36	Professional		$542.29	$725.30	$1,569.36
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 $806.74 / $1,303.86 / $5,317.68	Professional		$806.74	$1,303.86	$5,317.68
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 $605.86 / $1,021.06 / $1,735.09	Professional		$605.86	$1,021.06	$1,735.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $613.12 / $1,221.41 / $3,280.24	Facility		$613.12	$1,221.41	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.12 / $1,181.66 / $2,824.57	Professional		$588.12	$1,181.66	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $360.87 / $1,132.61	Professional		$78.54	$360.87	$1,132.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $784.40 / $1,061.28 / $1,149.05	Facility		$784.40	$1,061.28	$1,149.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $757.87 / $783.76 / $2,961.46	Facility		$757.87	$783.76	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.92 / $1,246.81 / $1,555.68	Professional		$871.92	$1,246.81	$1,555.68
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 $772.93 / $1,115.57 / $1,493.36	Professional		$772.93	$1,115.57	$1,493.36
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 $675.78 / $917.13 / $1,612.16	Professional		$675.78	$917.13	$1,612.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $477.32 / $477.32 / $623.58	Professional		$477.32	$477.32	$623.58