Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.49 / $4,011.00 / $18,711.00	Facility		$984.49	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.19 / $731.11 / $1,519.93	Professional		$528.19	$731.11	$1,519.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,922.46 / $5,471.61 / $12,100.72	Facility		$1,922.46	$5,471.61	$12,100.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $797.28 / $1,316.53 / $5,028.00	Professional		$797.28	$1,316.53	$5,028.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,190.81	Facility		$625.25	$761.81	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.23 / $1,029.15 / $1,747.92	Professional		$559.23	$1,029.15	$1,747.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $563.32 / $1,150.94 / $1,921.26	Facility		$563.32	$1,150.94	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $533.51 / $1,138.11 / $1,768.12	Professional		$533.51	$1,138.11	$1,768.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $359.18 / $1,129.44	Professional		$77.84	$359.18	$1,129.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $772.73 / $1,059.51 / $1,157.08	Facility		$772.73	$1,059.51	$1,157.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $764.21 / $1,795.87	Facility		$598.07	$764.21	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $878.43 / $1,255.53 / $1,566.56	Professional		$878.43	$1,255.53	$1,566.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $779.39 / $1,123.38 / $1,495.58	Professional		$779.39	$1,123.38	$1,495.58
United Facility/Professional Facility Modifier Low / Median / High Price $563.15 / $1,681.00 / $6,857.00	Facility		$563.15	$1,681.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $647.20 / $875.01 / $1,624.50	Professional		$647.20	$875.01	$1,624.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $480.63 / $480.63 / $628.37	Professional		$480.63	$480.63	$628.37