Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.93 / $5,128.00 / $20,680.40	Facility		$1,080.93	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.92 / $748.53 / $1,634.90	Professional		$541.92	$748.53	$1,634.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,679.87 / $9,172.83 / $20,286.13	Facility		$3,679.87	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $833.55 / $1,376.34 / $5,158.80	Professional		$833.55	$1,376.34	$5,158.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $608.37 / $1,053.93 / $1,790.19	Professional		$608.37	$1,053.93	$1,790.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $584.20 / $1,211.47 / $3,280.24	Facility		$584.20	$1,211.47	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.25 / $1,190.39 / $2,824.57	Professional		$558.25	$1,190.39	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $361.27 / $1,174.82	Professional		$78.54	$361.27	$1,174.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $804.58 / $1,111.53 / $1,187.24	Facility		$804.58	$1,111.53	$1,187.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $784.60 / $809.80 / $2,961.46	Facility		$784.60	$809.80	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.21 / $1,288.24 / $1,607.38	Professional		$901.21	$1,288.24	$1,607.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $800.18 / $1,152.65 / $1,543.52	Professional		$800.18	$1,152.65	$1,543.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $695.50 / $957.58 / $1,693.48	Professional		$695.50	$957.58	$1,693.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $493.61 / $493.61 / $642.12	Professional		$493.61	$493.61	$642.12