Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.33 / $4,500.00 / $18,711.00	Facility		$1,157.33	$4,500.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $614.35 / $892.92 / $1,688.04	Professional		$614.35	$892.92	$1,688.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $932.93 / $1,514.19 / $5,786.40	Professional		$932.93	$1,514.19	$5,786.40
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 $646.53 / $1,210.57 / $2,047.40	Professional		$646.53	$1,210.57	$2,047.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $617.26 / $1,236.84 / $1,994.65	Facility		$617.26	$1,236.84	$1,994.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.80 / $1,199.31 / $1,741.30	Professional		$578.80	$1,199.31	$1,741.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $383.46 / $1,273.80	Professional		$78.68	$383.46	$1,273.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $830.06 / $1,133.64 / $1,331.29	Facility		$830.06	$1,133.64	$1,331.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $897.85 / $1,613.81	Facility		$537.44	$897.85	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,022.26 / $1,466.68 / $1,802.41	Professional		$1,022.26	$1,466.68	$1,802.41
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 $915.68 / $1,292.50 / $1,720.74	Professional		$915.68	$1,292.50	$1,720.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,436.00 / $5,724.01 / $9,155.68	Facility		$1,436.00	$5,724.01	$9,155.68
United Facility/Professional Professional Modifier Low / Median / High Price $736.68 / $1,066.20 / $1,921.36	Professional		$736.68	$1,066.20	$1,921.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $544.96 / $544.96 / $734.15	Professional		$544.96	$544.96	$734.15