Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.34 / $5,128.00 / $20,680.40	Facility		$1,104.34	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.78 / $774.21 / $1,618.56	Professional		$559.78	$774.21	$1,618.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,929.39 / $5,167.93 / $11,500.00	Facility		$1,929.39	$5,167.93	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $861.30 / $1,393.40 / $5,329.80	Professional		$861.30	$1,393.40	$5,329.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,323.83	Facility		$714.97	$870.49	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.85 / $1,089.75 / $1,851.84	Professional		$622.85	$1,089.75	$1,851.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $599.42 / $1,223.51 / $2,037.92	Facility		$599.42	$1,223.51	$2,037.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $570.09 / $1,209.88 / $1,869.37	Professional		$570.09	$1,209.88	$1,869.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $361.27 / $1,174.82	Professional		$78.54	$361.27	$1,174.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $830.55 / $1,124.53 / $1,226.77	Facility		$830.55	$1,124.53	$1,226.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $642.54 / $810.87 / $1,929.39	Facility		$642.54	$810.87	$1,929.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.82 / $1,331.14 / $1,660.90	Professional		$930.82	$1,331.14	$1,660.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $826.98 / $1,191.03 / $1,585.65	Professional		$826.98	$1,191.03	$1,585.65
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $713.50 / $989.46 / $1,749.50	Professional		$713.50	$989.46	$1,749.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $510.17 / $510.17 / $665.51	Professional		$510.17	$510.17	$665.51