Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.86 / $5,128.00 / $20,680.40	Facility		$1,245.86	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.57 / $960.70 / $1,817.17	Professional		$650.57	$960.70	$1,817.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $996.31 / $1,624.33 / $6,165.45	Professional		$996.31	$1,624.33	$6,165.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $692.43 / $1,288.65 / $2,182.30	Professional		$692.43	$1,288.65	$2,182.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $670.33 / $1,391.42 / $3,280.24	Facility		$670.33	$1,391.42	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $627.04 / $1,331.82 / $2,824.57	Professional		$627.04	$1,331.82	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $387.92 / $1,386.72	Professional		$78.68	$387.92	$1,386.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $893.27 / $1,247.00 / $1,419.06	Facility		$893.27	$1,247.00	$1,419.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $958.55 / $967.93 / $2,961.46	Facility		$958.55	$967.93	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,089.56 / $1,565.84 / $1,921.24	Professional		$1,089.56	$1,565.84	$1,921.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $9,167.59 / $17,546.59	Facility		$6,013.44	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $977.59 / $1,377.72 / $1,834.19	Professional		$977.59	$1,377.72	$1,834.19
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 $802.20 / $1,088.70 / $2,014.96	Professional		$802.20	$1,088.70	$2,014.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $581.66 / $581.66 / $780.44	Professional		$581.66	$581.66	$780.44