Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,182.56 / $4,011.00 / $18,711.00	Facility		$1,182.56	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $592.82 / $819.06 / $1,791.35	Professional		$592.82	$819.06	$1,791.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,555.68 / $19,056.41 / $38,781.51	Facility		$5,555.68	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $911.16 / $1,487.02 / $5,638.13	Professional		$911.16	$1,487.02	$5,638.13
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 $660.97 / $1,153.04 / $1,957.14	Professional		$660.97	$1,153.04	$1,957.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $671.93 / $1,365.91 / $6,675.67	Facility		$671.93	$1,365.91	$6,675.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.15 / $1,315.15 / $6,279.70	Professional		$610.15	$1,315.15	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $373.32 / $1,254.92	Professional		$78.68	$373.32	$1,254.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $900.62 / $1,216.72 / $1,297.79	Facility		$900.62	$1,216.72	$1,297.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $858.44 / $885.21 / $6,526.97	Facility		$858.44	$885.21	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $985.98 / $1,408.20 / $1,757.05	Professional		$985.98	$1,408.20	$1,757.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $875.49 / $1,259.98 / $1,688.72	Professional		$875.49	$1,259.98	$1,688.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $768.60 / $1,046.76 / $1,823.06	Professional		$768.60	$1,046.76	$1,823.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $539.44 / $539.44 / $701.72	Professional		$539.44	$539.44	$701.72