Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,234.19 / $5,128.00 / $22,024.00	Facility		$1,234.19	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.91 / $853.72 / $1,873.86	Professional		$631.91	$853.72	$1,873.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $924.05 / $19,823.93 / $38,781.51	Facility		$924.05	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $951.15 / $1,549.00 / $5,884.73	Professional		$951.15	$1,549.00	$5,884.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.49 / $1,203.35 / $2,042.79	Professional		$691.49	$1,203.35	$2,042.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $703.16 / $1,423.48 / $7,292.72	Facility		$703.16	$1,423.48	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $637.69 / $1,374.60 / $6,279.70	Professional		$637.69	$1,374.60	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $384.31 / $1,333.92	Professional		$78.68	$384.31	$1,333.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $921.03 / $1,273.67 / $1,354.74	Facility		$921.03	$1,273.67	$1,354.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $896.49 / $924.05 / $6,526.97	Facility		$896.49	$924.05	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,029.14 / $1,469.99 / $1,834.16	Professional		$1,029.14	$1,469.99	$1,834.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $914.30 / $1,315.27 / $1,762.64	Professional		$914.30	$1,315.27	$1,762.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $807.68 / $1,089.83 / $1,902.85	Professional		$807.68	$1,089.83	$1,902.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $562.91 / $562.91 / $732.03	Professional		$562.91	$562.91	$732.03