Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,079.85 / $5,128.00 / $20,680.40	Facility		$1,079.85	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.46 / $747.59 / $1,645.11	Professional		$540.46	$747.59	$1,645.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,589.03 / $11,500.00	Facility		$2,701.16	$4,589.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $833.08 / $1,331.58 / $5,155.43	Professional		$833.08	$1,331.58	$5,155.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.39 / $1,052.90 / $1,792.28	Professional		$604.39	$1,052.90	$1,792.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $593.34 / $1,202.91 / $1,816.23	Facility		$593.34	$1,202.91	$1,816.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.37 / $1,168.38 / $1,654.11	Professional		$556.37	$1,168.38	$1,654.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $359.18 / $1,150.47	Professional		$78.02	$359.18	$1,150.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $806.69 / $1,115.55 / $1,186.57	Facility		$806.69	$1,115.55	$1,186.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $780.52 / $1,613.81	Facility		$537.44	$780.52	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $899.15 / $1,287.52 / $1,606.47	Professional		$899.15	$1,287.52	$1,606.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $796.03 / $1,152.00 / $1,533.69	Professional		$796.03	$1,152.00	$1,533.69
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 $699.30 / $962.51 / $1,662.51	Professional		$699.30	$962.51	$1,662.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $493.89 / $493.89 / $645.46	Professional		$493.89	$493.89	$645.46