Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.13 / $11,093.00 / $27,027.55	Facility		$1,250.13	$11,093.00	$27,027.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $577.12 / $864.55 / $1,724.60	Professional		$577.12	$864.55	$1,724.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $935.02 / $19,823.93 / $38,781.51	Facility		$935.02	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $962.44 / $1,567.00 / $5,954.40	Professional		$962.44	$1,567.00	$5,954.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $700.78 / $1,218.92 / $2,066.29	Professional		$700.78	$1,218.92	$2,066.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $711.89 / $1,456.86 / $6,397.05	Facility		$711.89	$1,456.86	$6,397.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $646.62 / $1,392.72 / $5,065.67	Professional		$646.62	$1,392.72	$5,065.67
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 $944.23 / $1,283.05 / $1,370.82	Facility		$944.23	$1,283.05	$1,370.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $907.36 / $907.36 / $935.02	Facility		$907.36	$907.36	$935.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.01 / $1,487.44 / $1,855.93	Professional		$1,043.01	$1,487.44	$1,855.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,793.48 / $20,273.81 / $38,781.51	Facility		$14,793.48	$20,273.81	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $925.39 / $1,330.88 / $1,786.40	Professional		$925.39	$1,330.88	$1,786.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,492.00 / $12,835.00	Facility		$1,950.00	$3,492.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $832.92 / $1,105.65 / $1,945.73	Professional		$832.92	$1,105.65	$1,945.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $570.63 / $570.63 / $740.99	Professional		$570.63	$570.63	$740.99