Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.67 / $5,128.00 / $20,680.40	Facility		$1,117.67	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $559.75 / $773.79 / $1,658.15	Professional		$559.75	$773.79	$1,658.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $861.30 / $1,418.75 / $5,330.03	Professional		$861.30	$1,418.75	$5,330.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.48 / $1,089.76 / $1,851.87	Professional		$622.48	$1,089.76	$1,851.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $621.17 / $1,269.60 / $7,292.72	Facility		$621.17	$1,269.60	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.11 / $1,238.30 / $6,279.70	Professional		$575.11	$1,238.30	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $361.27 / $1,174.82	Professional		$78.54	$361.27	$1,174.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $840.84 / $1,123.98 / $1,226.77	Facility		$840.84	$1,123.98	$1,226.77
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.96 / $836.77 / $6,526.97	Facility		$809.96	$836.77	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.82 / $1,331.14 / $1,660.90	Professional		$930.82	$1,331.14	$1,660.90
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 $826.06 / $1,191.03 / $1,594.56	Professional		$826.06	$1,191.03	$1,594.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,096.98 / $11,941.00	Facility		$2,155.00	$6,096.98	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $723.66 / $986.70 / $1,730.74	Professional		$723.66	$986.70	$1,730.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $509.62 / $509.62 / $664.89	Professional		$509.62	$509.62	$664.89