Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,204.71 / $5,128.00 / $21,917.86	Facility		$1,204.71	$5,128.00	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.47 / $885.59 / $1,682.62	Professional		$586.47	$885.59	$1,682.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,450.22 / $19,913.50 / $38,781.51	Facility		$3,450.22	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $974.86 / $1,555.20 / $6,098.10	Professional		$974.86	$1,555.20	$6,098.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $8,315.84	Facility		$883.20	$1,075.31	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.89 / $1,228.11 / $2,142.08	Professional		$658.89	$1,228.11	$2,142.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $657.28 / $1,352.28 / $6,597.50	Facility		$657.28	$1,352.28	$6,597.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.95 / $1,281.91 / $6,279.70	Professional		$602.95	$1,281.91	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $387.92 / $1,362.78	Professional		$78.68	$387.92	$1,362.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $854.95 / $1,179.20 / $1,403.65	Facility		$854.95	$1,179.20	$1,403.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.14 / $957.42 / $6,526.97	Facility		$919.14	$957.42	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,037.67 / $1,511.57 / $1,900.37	Professional		$1,037.67	$1,511.57	$1,900.37
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 $937.40 / $1,342.16 / $1,814.27	Professional		$937.40	$1,342.16	$1,814.27
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 $777.43 / $1,022.56 / $1,919.00	Professional		$777.43	$1,022.56	$1,919.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $575.60 / $772.74	Professional		$575.60	$575.60	$772.74