Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,224.45 / $4,011.00 / $18,711.00	Facility		$1,224.45	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $847.34 / $1,858.27	Professional		$612.11	$847.34	$1,858.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,940.56 / $9,172.83 / $17,546.59	Facility		$3,940.56	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $943.62 / $1,539.91 / $5,838.23	Professional		$943.62	$1,539.91	$5,838.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $658.81 / $1,193.88 / $2,026.86	Professional		$658.81	$1,193.88	$2,026.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $647.71 / $1,328.70 / $3,280.24	Facility		$647.71	$1,328.70	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.04 / $1,318.01 / $2,824.57	Professional		$631.04	$1,318.01	$2,824.57
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 $913.28 / $1,262.95 / $1,344.02	Facility		$913.28	$1,262.95	$1,344.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.79 / $916.74 / $2,961.46	Facility		$888.79	$916.74	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.92 / $1,458.36 / $1,819.64	Professional		$1,020.92	$1,458.36	$1,819.64
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 $906.44 / $1,304.85 / $1,737.20	Professional		$906.44	$1,304.85	$1,737.20
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 $769.12 / $1,042.25 / $1,918.45	Professional		$769.12	$1,042.25	$1,918.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $558.76 / $558.76 / $726.80	Professional		$558.76	$558.76	$726.80