Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,120.58 / $4,011.00 / $18,711.00	Facility		$1,120.58	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $581.02 / $853.04 / $1,635.47	Professional		$581.02	$853.04	$1,635.47
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 $907.84 / $1,494.38 / $5,644.20	Professional		$907.84	$1,494.38	$5,644.20
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 $631.85 / $1,180.09 / $1,997.60	Professional		$631.85	$1,180.09	$1,997.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $598.12 / $1,217.43 / $1,999.20	Facility		$598.12	$1,217.43	$1,999.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.61 / $1,178.97 / $1,741.30	Professional		$567.61	$1,178.97	$1,741.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $383.54 / $1,299.61	Professional		$78.68	$383.54	$1,299.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.10 / $1,102.95 / $1,298.46	Facility		$794.10	$1,102.95	$1,298.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $876.56 / $1,613.81	Facility		$537.44	$876.56	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $997.09 / $1,431.90 / $1,757.96	Professional		$997.09	$1,431.90	$1,757.96
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 $893.97 / $1,260.63 / $1,678.31	Professional		$893.97	$1,260.63	$1,678.31
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 $713.81 / $957.55 / $1,843.95	Professional		$713.81	$957.55	$1,843.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $531.98 / $531.98 / $715.19	Professional		$531.98	$531.98	$715.19