Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.15 / $4,011.00 / $18,711.00	Facility		$1,316.15	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.04 / $910.62 / $1,976.61	Professional		$660.04	$910.62	$1,976.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,358.00 / $9,172.83 / $17,546.59	Facility		$5,358.00	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.65 / $1,561.40 / $6,911.53	Professional		$1,014.65	$1,561.40	$6,911.53
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 $711.57 / $1,283.28 / $2,178.00	Professional		$711.57	$1,283.28	$2,178.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $680.75 / $1,447.45 / $3,280.24	Facility		$680.75	$1,447.45	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $678.75 / $1,393.70 / $2,824.57	Professional		$678.75	$1,393.70	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $397.59 / $1,445.59	Professional		$78.54	$397.59	$1,445.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $965.61 / $1,335.31 / $1,445.19	Facility		$965.61	$1,335.31	$1,445.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $955.83 / $985.75 / $2,961.46	Facility		$955.83	$985.75	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,097.99 / $1,568.14 / $1,956.61	Professional		$1,097.99	$1,568.14	$1,956.61
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 $974.82 / $1,403.08 / $1,867.96	Professional		$974.82	$1,403.08	$1,867.96
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 $858.06 / $1,175.34 / $2,063.28	Professional		$858.06	$1,175.34	$2,063.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $600.45 / $600.45 / $779.91	Professional		$600.45	$600.45	$779.91