Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.15 / $5,132.00 / $22,024.00	Facility		$1,335.15	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $640.21 / $922.72 / $1,957.40	Professional		$640.21	$922.72	$1,957.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $999.46 / $18,220.34 / $35,644.43	Facility		$999.46	$18,220.34	$35,644.43
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,028.76 / $1,669.14 / $6,366.60	Professional		$1,028.76	$1,669.14	$6,366.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $716.98 / $1,301.81 / $2,208.08	Professional		$716.98	$1,301.81	$2,208.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $685.41 / $1,353.75 / $1,982.60	Facility		$685.41	$1,353.75	$1,982.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $685.41 / $1,347.49 / $1,812.06	Professional		$685.41	$1,347.49	$1,812.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $397.59 / $1,445.59	Professional		$78.54	$397.59	$1,445.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $925.44 / $1,342.49 / $1,465.29	Facility		$925.44	$1,342.49	$1,465.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $969.42 / $969.42 / $999.46	Facility		$969.42	$969.42	$999.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,113.92 / $1,589.95 / $1,983.83	Professional		$1,113.92	$1,589.95	$1,983.83
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 $988.68 / $1,422.60 / $1,893.94	Professional		$988.68	$1,422.60	$1,893.94
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 $822.64 / $1,120.54 / $2,059.59	Professional		$822.64	$1,120.54	$2,059.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $609.00 / $609.00 / $790.75	Professional		$609.00	$609.00	$790.75