Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $944.58 / $1,971.32 / $22,024.00	Facility		$944.58	$1,971.32	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.44 / $944.58 / $1,971.32	Professional		$682.44	$944.58	$1,971.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,015.00 / $18,220.34 / $35,644.43	Facility		$1,015.00	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,044.76 / $1,691.88 / $6,463.95	Professional		$1,044.76	$1,691.88	$6,463.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $727.54 / $1,330.83 / $2,250.23	Professional		$727.54	$1,330.83	$2,250.23
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $666.19 / $1,352.88 / $1,927.00	Facility		$666.19	$1,352.88	$1,927.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $666.19 / $1,341.63 / $1,778.29	Professional		$666.19	$1,341.63	$1,778.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $398.50 / $1,419.70	Professional		$78.68	$398.50	$1,419.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $984.06 / $1,337.99 / $1,488.07	Facility		$984.06	$1,337.99	$1,488.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $991.62 / $991.62 / $1,015.00	Facility		$991.62	$991.62	$1,015.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,134.76 / $1,619.86 / $2,014.67	Professional		$1,134.76	$1,619.86	$2,014.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,011.32 / $1,444.71 / $1,923.39	Professional		$1,011.32	$1,444.71	$1,923.39
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 $864.38 / $1,194.21 / $2,098.56	Professional		$864.38	$1,194.21	$2,098.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.73 / $616.73 / $807.70	Professional		$616.73	$616.73	$807.70