Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.40 / $5,128.00 / $20,680.40	Facility		$1,146.40	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.49 / $794.49 / $1,727.17	Professional		$583.49	$794.49	$1,727.17
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 $887.04 / $1,457.96 / $5,470.05	Professional		$887.04	$1,457.96	$5,470.05
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 $639.60 / $1,117.77 / $1,899.74	Professional		$639.60	$1,117.77	$1,899.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $652.12 / $1,343.86 / $3,280.24	Facility		$652.12	$1,343.86	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.10 / $1,299.44 / $2,824.57	Professional		$620.10	$1,299.44	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $369.05 / $1,194.93	Professional		$78.68	$369.05	$1,194.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $846.42 / $1,170.49 / $1,258.93	Facility		$846.42	$1,170.49	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.26 / $858.70 / $2,961.46	Facility		$831.26	$858.70	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $955.15 / $1,366.03 / $1,704.44	Professional		$955.15	$1,366.03	$1,704.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $847.77 / $1,222.25 / $1,627.21	Professional		$847.77	$1,222.25	$1,627.21
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 $751.04 / $1,027.18 / $1,794.86	Professional		$751.04	$1,027.18	$1,794.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $523.15 / $523.15 / $681.91	Professional		$523.15	$523.15	$681.91