Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.04 / $6,470.00 / $20,680.40	Facility		$1,217.04	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $641.74 / $935.38 / $1,775.11	Professional		$641.74	$935.38	$1,775.11
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 $960.89 / $1,587.53 / $5,987.33	Professional		$960.89	$1,587.53	$5,987.33
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 $664.87 / $1,254.28 / $2,119.31	Professional		$664.87	$1,254.28	$2,119.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.76 / $1,368.35 / $3,280.24	Facility		$660.76	$1,368.35	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.35 / $1,315.19 / $2,824.57	Professional		$616.35	$1,315.19	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $385.34 / $1,327.71	Professional		$78.68	$385.34	$1,327.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $878.45 / $1,193.94 / $1,381.54	Facility		$878.45	$1,193.94	$1,381.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $929.10 / $942.33 / $2,961.46	Facility		$929.10	$942.33	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,059.25 / $1,517.74 / $1,870.44	Professional		$1,059.25	$1,517.74	$1,870.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $947.56 / $1,341.29 / $1,785.69	Professional		$947.56	$1,341.29	$1,785.69
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 $791.77 / $1,087.76 / $1,990.85	Professional		$791.77	$1,087.76	$1,990.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $564.83 / $564.83 / $759.68	Professional		$564.83	$564.83	$759.68