Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.75 / $5,128.00 / $20,680.40	Facility		$1,129.75	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.63 / $856.46 / $1,909.54	Professional		$607.63	$856.46	$1,909.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $19,913.50 / $38,781.51	Facility		$6,013.44	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $869.77 / $1,419.09 / $5,381.85	Professional		$869.77	$1,419.09	$5,381.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.51 / $1,101.55 / $1,869.83	Professional		$628.51	$1,101.55	$1,869.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $639.88 / $1,295.82 / $7,292.72	Facility		$639.88	$1,295.82	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $580.41 / $1,249.90 / $6,279.70	Professional		$580.41	$1,249.90	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.19 / $360.98 / $1,175.06	Professional		$78.19	$360.98	$1,175.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $847.21 / $1,145.03 / $1,238.83	Facility		$847.21	$1,145.03	$1,238.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $819.93 / $844.99 / $6,526.97	Facility		$819.93	$844.99	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.28 / $1,344.22 / $1,677.23	Professional		$941.28	$1,344.22	$1,677.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $836.22 / $1,202.74 / $1,612.16	Professional		$836.22	$1,202.74	$1,612.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.06 / $999.20 / $1,740.39	Professional		$732.06	$999.20	$1,740.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $515.15 / $515.15 / $671.62	Professional		$515.15	$515.15	$671.62