Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,078.89 / $4,011.00 / $18,711.00	Facility		$1,078.89	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.52 / $760.14 / $1,590.38	Professional		$549.52	$760.14	$1,590.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,332.70 / $9,522.34 / $17,546.59	Facility		$3,332.70	$9,522.34	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $842.63 / $1,393.95 / $6,452.47	Professional		$842.63	$1,393.95	$6,452.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $4,740.89	Facility		$625.25	$761.81	$4,740.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $612.50 / $1,069.74 / $1,818.18	Professional		$612.50	$1,069.74	$1,818.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $624.58 / $1,284.97 / $4,157.60	Facility		$624.58	$1,284.97	$4,157.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $569.40 / $1,218.72 / $3,580.06	Professional		$569.40	$1,218.72	$3,580.06
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 $821.71 / $1,105.64 / $1,204.66	Facility		$821.71	$1,105.64	$1,204.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $795.92 / $821.69 / $2,961.46	Facility		$795.92	$821.69	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.87 / $1,307.15 / $1,630.97	Professional		$913.87	$1,307.15	$1,630.97
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 $811.73 / $1,169.57 / $1,557.07	Professional		$811.73	$1,169.57	$1,557.07
United Facility/Professional Facility Modifier Low / Median / High Price $3,129.00 / $11,604.61 / $18,561.84	Facility		$3,129.00	$11,604.61	$18,561.84
United Facility/Professional Professional Modifier Low / Median / High Price $714.00 / $978.44 / $1,721.17	Professional		$714.00	$978.44	$1,721.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $500.51 / $500.51 / $652.74	Professional		$500.51	$500.51	$652.74