Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $5,128.00 / $20,680.40	Facility		$1,306.07	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.88 / $903.16 / $1,965.07	Professional		$620.88	$903.16	$1,965.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,400.95 / $19,913.50 / $38,781.51	Facility		$6,400.95	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,006.19 / $1,642.23 / $6,227.40	Professional		$1,006.19	$1,642.23	$6,227.40
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 $731.63 / $1,273.45 / $2,160.71	Professional		$731.63	$1,273.45	$2,160.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $706.44 / $1,455.80 / $7,292.72	Facility		$706.44	$1,455.80	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $671.65 / $1,431.66 / $6,279.70	Professional		$671.65	$1,431.66	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $397.59 / $1,387.78	Professional		$78.68	$397.59	$1,387.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $969.22 / $1,329.95 / $1,433.13	Facility		$969.22	$1,329.95	$1,433.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $946.77 / $977.52 / $6,526.97	Facility		$946.77	$977.52	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,089.26 / $1,555.05 / $1,940.29	Professional		$1,089.26	$1,555.05	$1,940.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $965.58 / $1,391.38 / $1,865.60	Professional		$965.58	$1,391.38	$1,865.60
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 $842.49 / $1,153.09 / $2,046.87	Professional		$842.49	$1,153.09	$2,046.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $595.47 / $595.47 / $774.43	Professional		$595.47	$595.47	$774.43