Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.93 / $5,128.00 / $20,680.40	Facility		$1,078.93	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.91 / $750.12 / $1,633.74	Professional		$491.91	$750.12	$1,633.74
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 $821.70 / $1,352.00 / $5,108.85	Professional		$821.70	$1,352.00	$5,108.85
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 $606.38 / $1,051.98 / $1,794.56	Professional		$606.38	$1,051.98	$1,794.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $593.34 / $1,217.59 / $3,280.24	Facility		$593.34	$1,217.59	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.20 / $1,197.70 / $2,824.57	Professional		$557.20	$1,197.70	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $331.89 / $1,217.74	Professional		$77.42	$331.89	$1,217.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $800.88 / $1,104.16 / $1,182.55	Facility		$800.88	$1,104.16	$1,182.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $778.25 / $806.61 / $2,961.46	Facility		$778.25	$806.61	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $895.55 / $1,283.16 / $1,601.03	Professional		$895.55	$1,283.16	$1,601.03
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 $793.72 / $1,148.09 / $1,533.84	Professional		$793.72	$1,148.09	$1,533.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.10 / $953.80 / $1,638.44	Professional		$695.10	$953.80	$1,638.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $493.61 / $493.61 / $650.51	Professional		$493.61	$493.61	$650.51