Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $994.18 / $5,128.00 / $20,680.40	Facility		$994.18	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.77 / $839.20 / $1,702.17	Professional		$589.77	$839.20	$1,702.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $912.89 / $1,490.60 / $5,737.95	Professional		$912.89	$1,490.60	$5,737.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.25 / $1,158.90 / $1,999.63	Professional		$641.25	$1,158.90	$1,999.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $619.44 / $1,251.48 / $1,963.91	Facility		$619.44	$1,251.48	$1,963.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.90 / $1,222.02 / $1,741.30	Professional		$585.90	$1,222.02	$1,741.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $373.32 / $1,279.82	Professional		$78.68	$373.32	$1,279.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $734.51 / $1,136.28 / $1,320.57	Facility		$734.51	$1,136.28	$1,320.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $879.27 / $1,613.81	Facility		$537.44	$879.27	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.34 / $1,436.34 / $1,787.89	Professional		$1,006.34	$1,436.34	$1,787.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $896.74 / $1,282.08 / $1,706.89	Professional		$896.74	$1,282.08	$1,706.89
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 $737.00 / $1,032.83 / $1,842.84	Professional		$737.00	$1,032.83	$1,842.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $546.05 / $546.05 / $718.26	Professional		$546.05	$546.05	$718.26