Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.83 / $2,007.40 / $22,024.00	Facility		$921.83	$2,007.40	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $717.00 / $921.83 / $2,007.40	Professional		$717.00	$921.83	$2,007.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $997.63 / $35,815.01 / $70,064.83	Facility		$997.63	$35,815.01	$70,064.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.88 / $1,673.00 / $6,344.78	Professional		$1,026.88	$1,673.00	$6,344.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $740.06 / $1,299.26 / $2,207.36	Professional		$740.06	$1,299.26	$2,207.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $691.49 / $1,403.89 / $1,949.42	Facility		$691.49	$1,403.89	$1,949.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $680.24 / $1,360.46 / $1,798.98	Professional		$680.24	$1,360.46	$1,798.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $399.90 / $1,437.34	Professional		$78.68	$399.90	$1,437.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $995.68 / $1,362.11 / $1,462.61	Facility		$995.68	$1,362.11	$1,462.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $965.80 / $965.80 / $997.63	Facility		$965.80	$965.80	$997.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,110.32 / $1,587.04 / $1,980.20	Professional		$1,110.32	$1,587.04	$1,980.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,977.90 / $36,627.79 / $70,064.83	Facility		$27,977.90	$36,627.79	$70,064.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $984.98 / $1,420.00 / $1,890.48	Professional		$984.98	$1,420.00	$1,890.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $872.00 / $1,210.68 / $2,086.44	Professional		$872.00	$1,210.68	$2,086.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $610.94 / $610.94 / $795.85	Professional		$610.94	$610.94	$795.85