Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,248.02 / $2,769.52 / $18,711.00	Facility		$1,248.02	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.45 / $887.61 / $1,861.86	Professional		$644.45	$887.61	$1,861.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $990.66 / $1,588.00 / $6,129.38	Professional		$990.66	$1,588.00	$6,129.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.52 / $1,254.33 / $2,129.11	Professional		$689.52	$1,254.33	$2,129.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $655.03 / $1,370.58 / $1,894.72	Facility		$655.03	$1,370.58	$1,894.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.15 / $1,337.80 / $1,816.23	Professional		$661.15	$1,337.80	$1,816.23
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 $950.11 / $1,295.42 / $1,411.02	Facility		$950.11	$1,295.42	$1,411.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $930.46 / $1,613.81	Facility		$537.44	$930.46	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,072.08 / $1,531.06 / $1,910.35	Professional		$1,072.08	$1,531.06	$1,910.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $948.95 / $1,369.91 / $1,823.80	Professional		$948.95	$1,369.91	$1,823.80
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $832.44 / $1,138.07 / $2,015.01	Professional		$832.44	$1,138.07	$2,015.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $588.02 / $588.02 / $765.90	Professional		$588.02	$588.02	$765.90