Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.16 / $1,895.90 / $22,024.00	Facility		$923.16	$1,895.90	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $666.77 / $923.16 / $1,895.90	Professional		$666.77	$923.16	$1,895.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $991.69 / $18,220.34 / $35,644.43	Facility		$991.69	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,020.77 / $1,663.00 / $6,316.13	Professional		$1,020.77	$1,663.00	$6,316.13
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 $708.30 / $1,300.25 / $2,198.55	Professional		$708.30	$1,300.25	$2,198.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $650.69 / $1,329.21 / $1,882.17	Facility		$650.69	$1,329.21	$1,882.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $650.69 / $1,310.70 / $1,736.92	Professional		$650.69	$1,310.70	$1,736.92
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 $924.43 / $1,278.35 / $1,453.90	Facility		$924.43	$1,278.35	$1,453.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $969.42 / $969.42 / $991.69	Facility		$969.42	$969.42	$991.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,108.56 / $1,577.59 / $1,968.41	Professional		$1,108.56	$1,577.59	$1,968.41
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 $988.68 / $1,411.54 / $1,879.22	Professional		$988.68	$1,411.54	$1,879.22
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 $804.50 / $1,125.04 / $2,018.04	Professional		$804.50	$1,125.04	$2,018.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $601.82 / $601.82 / $788.48	Professional		$601.82	$601.82	$788.48