Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $979.73 / $4,011.00 / $18,711.00	Facility		$979.73	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.58 / $678.03 / $1,556.84	Professional		$525.58	$678.03	$1,556.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $17,546.59	Facility		$2,961.46	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $755.93 / $1,254.02 / $6,371.67	Professional		$755.93	$1,254.02	$6,371.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.19 / $955.25 / $1,621.25	Professional		$573.19	$955.25	$1,621.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $596.60 / $1,207.33 / $3,280.24	Facility		$596.60	$1,207.33	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $589.42 / $1,130.72 / $2,824.57	Professional		$589.42	$1,130.72	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $344.04 / $1,045.94	Professional		$76.14	$344.04	$1,045.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $844.29 / $1,043.25 / $1,082.53	Facility		$844.29	$1,043.25	$1,082.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.66 / $734.40 / $2,961.46	Facility		$711.66	$734.40	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.97 / $1,168.29 / $1,457.71	Professional		$817.97	$1,168.29	$1,457.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,006.61 / $9,172.83 / $17,546.59	Facility		$7,006.61	$9,172.83	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $725.80 / $1,045.32 / $1,400.96	Professional		$725.80	$1,045.32	$1,400.96
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 $657.47 / $958.16 / $1,513.71	Professional		$657.47	$958.16	$1,513.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $447.51 / $447.51 / $580.03	Professional		$447.51	$447.51	$580.03