Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,026.03 / $5,132.00 / $22,024.00	Facility		$1,026.03	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.04 / $711.33 / $1,475.78	Professional		$482.04	$711.33	$1,475.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $791.21 / $1,274.02 / $4,896.60	Professional		$791.21	$1,274.02	$4,896.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,223.70 / $3,740.43	Facility		$1,005.16	$1,223.70	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $568.41 / $1,000.40 / $1,704.36	Professional		$568.41	$1,000.40	$1,704.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $536.79 / $1,131.72 / $3,280.24	Facility		$536.79	$1,131.72	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.20 / $1,098.61 / $2,824.57	Professional		$522.20	$1,098.61	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $317.80 / $1,104.26	Professional		$77.42	$317.80	$1,104.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $746.61 / $1,033.77 / $1,126.94	Facility		$746.61	$1,033.77	$1,126.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.56 / $768.67 / $2,961.46	Facility		$741.56	$768.67	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $852.91 / $1,222.81 / $1,525.74	Professional		$852.91	$1,222.81	$1,525.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,693.27 / $9,167.59 / $17,546.59	Facility		$6,693.27	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $756.29 / $1,094.09 / $1,460.80	Professional		$756.29	$1,094.09	$1,460.80
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 $655.08 / $908.96 / $1,577.01	Professional		$655.08	$908.96	$1,577.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $469.04 / $469.04 / $615.15	Professional		$469.04	$469.04	$615.15