Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,135.50 / $5,128.00 / $20,680.40	Facility		$1,135.50	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.22 / $781.60 / $1,671.16	Professional		$575.22	$781.60	$1,671.16
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 $878.71 / $1,424.83 / $5,464.65	Professional		$878.71	$1,424.83	$5,464.65
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 $656.47 / $1,107.14 / $1,876.95	Professional		$656.47	$1,107.14	$1,876.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $667.57 / $1,339.27 / $3,280.24	Facility		$667.57	$1,339.27	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.79 / $1,286.07 / $2,824.57	Professional		$608.79	$1,286.07	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $369.93 / $1,218.11	Professional		$78.68	$369.93	$1,218.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $888.09 / $1,189.25 / $1,251.56	Facility		$888.09	$1,189.25	$1,251.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.44 / $853.68 / $2,961.46	Facility		$829.44	$853.68	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $952.59 / $1,358.04 / $1,694.46	Professional		$952.59	$1,358.04	$1,694.46
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 $845.92 / $1,215.09 / $1,617.69	Professional		$845.92	$1,215.09	$1,617.69
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 $747.18 / $1,014.02 / $1,761.30	Professional		$747.18	$1,014.02	$1,761.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $520.39 / $520.39 / $669.34	Professional		$520.39	$520.39	$669.34