Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.70 / $4,011.00 / $18,711.00	Facility		$965.70	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.31 / $677.89 / $1,408.51	Professional		$489.31	$677.89	$1,408.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,979.66 / $5,471.61 / $12,100.72	Facility		$1,979.66	$5,471.61	$12,100.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $735.49 / $1,214.32 / $4,660.05	Professional		$735.49	$1,214.32	$4,660.05
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 $517.15 / $954.27 / $1,622.29	Professional		$517.15	$954.27	$1,622.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $519.82 / $1,063.18 / $1,921.26	Facility		$519.82	$1,063.18	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.51 / $1,051.33 / $1,686.99	Professional		$497.51	$1,051.33	$1,686.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $301.83 / $1,030.12	Professional		$75.97	$301.83	$1,030.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $725.50 / $982.86 / $1,072.67	Facility		$725.50	$982.86	$1,072.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $707.59 / $1,795.87	Facility		$598.07	$707.59	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.70 / $1,163.93 / $1,452.27	Professional		$813.70	$1,163.93	$1,452.27
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 $721.64 / $1,041.42 / $1,386.47	Professional		$721.64	$1,041.42	$1,386.47
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.67 / $865.94 / $1,504.79	Professional		$615.67	$865.94	$1,504.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.13 / $446.13 / $584.77	Professional		$446.13	$446.13	$584.77