Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,234.96 / $5,132.00 / $22,024.00	Facility		$1,234.96	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.11 / $852.38 / $1,866.09	Professional		$620.11	$852.38	$1,866.09
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $925.43 / $18,220.34 / $35,644.43	Facility		$925.43	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $958.58 / $1,545.96 / $5,894.33	Professional		$958.58	$1,545.96	$5,894.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.73 / $1,204.13 / $2,042.05	Professional		$668.73	$1,204.13	$2,042.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $640.85 / $1,314.37 / $1,837.33	Facility		$640.85	$1,314.37	$1,837.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.19 / $1,285.14 / $1,682.63	Professional		$635.19	$1,285.14	$1,682.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $373.32 / $1,278.57	Professional		$78.68	$373.32	$1,278.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $913.77 / $1,263.61 / $1,356.75	Facility		$913.77	$1,263.61	$1,356.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $898.30 / $898.30 / $925.43	Facility		$898.30	$898.30	$925.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.71 / $1,472.18 / $1,836.88	Professional		$1,031.71	$1,472.18	$1,836.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,233.34 / $18,633.84 / $35,644.43	Facility		$14,233.34	$18,633.84	$35,644.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $916.15 / $1,317.22 / $1,753.65	Professional		$916.15	$1,317.22	$1,753.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $808.88 / $1,040.49 / $1,907.59	Professional		$808.88	$1,040.49	$1,907.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $564.28 / $564.28 / $730.24	Professional		$564.28	$564.28	$730.24