Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,223.90 / $5,128.00 / $20,680.40	Facility		$1,223.90	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.32 / $847.00 / $1,841.71	Professional		$571.32	$847.00	$1,841.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,701.16 / $4,589.03 / $11,500.00	Facility		$2,701.16	$4,589.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $938.80 / $1,536.00 / $5,835.90	Professional		$938.80	$1,536.00	$5,835.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $680.65 / $1,193.33 / $2,027.09	Professional		$680.65	$1,193.33	$2,027.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $636.84 / $1,296.92 / $2,034.92	Facility		$636.84	$1,296.92	$2,034.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $626.51 / $1,282.47 / $1,812.23	Professional		$626.51	$1,282.47	$1,812.23
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 $904.56 / $1,250.89 / $1,343.35	Facility		$904.56	$1,250.89	$1,343.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $887.43 / $1,613.81	Facility		$537.44	$887.43	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.89 / $1,457.64 / $1,818.74	Professional		$1,019.89	$1,457.64	$1,818.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,589.03 / $8,712.50	Facility		$3,434.81	$4,589.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $905.06 / $1,304.21 / $1,736.33	Professional		$905.06	$1,304.21	$1,736.33
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 $758.00 / $1,057.83 / $1,870.10	Professional		$758.00	$1,057.83	$1,870.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $559.30 / $559.30 / $728.80	Professional		$559.30	$559.30	$728.80