Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $902.60 / $1,986.10 / $22,024.00	Facility		$902.60	$1,986.10	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $664.00 / $902.60 / $1,986.10	Professional		$664.00	$902.60	$1,986.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $977.07 / $35,815.01 / $70,064.83	Facility		$977.07	$35,815.01	$70,064.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.24 / $1,641.38 / $6,225.30	Professional		$1,012.24	$1,641.38	$6,225.30
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 $715.12 / $1,271.67 / $2,158.17	Professional		$715.12	$1,271.67	$2,158.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $683.61 / $1,385.09 / $1,934.18	Facility		$683.61	$1,385.09	$1,934.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.67 / $1,351.05 / $1,768.92	Professional		$668.67	$1,351.05	$1,768.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $397.59 / $1,445.59	Professional		$78.54	$397.59	$1,445.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $976.75 / $1,333.33 / $1,432.46	Facility		$976.75	$1,333.33	$1,432.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $948.58 / $948.58 / $977.07	Facility		$948.58	$948.58	$977.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,088.23 / $1,554.33 / $1,939.38	Professional		$1,088.23	$1,554.33	$1,939.38
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 $967.43 / $1,390.73 / $1,851.51	Professional		$967.43	$1,390.73	$1,851.51
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 $854.03 / $1,164.90 / $2,012.10	Professional		$854.03	$1,164.90	$2,012.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $594.92 / $594.92 / $772.25	Professional		$594.92	$594.92	$772.25