Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,010.24 / $6,470.00 / $20,680.40	Facility		$1,010.24	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.38 / $798.68 / $1,671.16	Professional		$514.38	$798.68	$1,671.16
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 $888.59 / $1,439.71 / $5,498.70	Professional		$888.59	$1,439.71	$5,498.70
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 $616.87 / $1,124.65 / $1,910.55	Professional		$616.87	$1,124.65	$1,910.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $649.45 / $1,314.18 / $3,280.24	Facility		$649.45	$1,314.18	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $594.51 / $1,279.61 / $2,824.57	Professional		$594.51	$1,279.61	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $369.34 / $1,194.93	Professional		$78.68	$369.34	$1,194.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $772.68 / $1,160.41 / $1,265.63	Facility		$772.68	$1,160.41	$1,265.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $835.79 / $863.27 / $2,961.46	Facility		$835.79	$863.27	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $960.62 / $1,373.30 / $1,713.51	Professional		$960.62	$1,373.30	$1,713.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $852.39 / $1,228.76 / $1,635.87	Professional		$852.39	$1,228.76	$1,635.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.28 / $978.44 / $1,776.50	Professional		$713.28	$978.44	$1,776.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $526.46 / $526.46 / $686.82	Professional		$526.46	$526.46	$686.82