Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,173.98 / $4,011.00 / $18,711.00	Facility		$1,173.98	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $545.37 / $813.01 / $1,782.99	Professional		$545.37	$813.01	$1,782.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,554.63 / $11,500.00	Facility		$2,701.16	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $904.41 / $1,475.03 / $5,603.78	Professional		$904.41	$1,475.03	$5,603.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $634.13 / $1,124.03 / $1,946.26	Professional		$634.13	$1,124.03	$1,946.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $605.49 / $1,256.18 / $1,962.18	Facility		$605.49	$1,256.18	$1,962.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.49 / $1,230.55 / $1,755.73	Professional		$605.49	$1,230.55	$1,755.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $379.89 / $1,258.90	Professional		$78.68	$379.89	$1,258.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $841.58 / $1,209.34 / $1,289.75	Facility		$841.58	$1,209.34	$1,289.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $849.83 / $1,613.81	Facility		$537.44	$849.83	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $978.28 / $1,399.48 / $1,746.17	Professional		$978.28	$1,399.48	$1,746.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,323.45 / $4,552.03 / $8,712.50	Facility		$3,323.45	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $866.71 / $1,252.17 / $1,667.05	Professional		$866.71	$1,252.17	$1,667.05
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 $630.16 / $1,040.26 / $1,808.79	Professional		$630.16	$1,040.26	$1,808.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $536.95 / $536.95 / $699.91	Professional		$536.95	$536.95	$699.91