Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.28 / $5,128.00 / $20,680.40	Facility		$986.28	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $506.19 / $681.82 / $1,576.88	Professional		$506.19	$681.82	$1,576.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,679.87 / $9,172.83 / $20,286.13	Facility		$3,679.87	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $762.52 / $1,236.46 / $4,714.28	Professional		$762.52	$1,236.46	$4,714.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.16 / $969.45 / $1,634.02	Professional		$579.16	$969.45	$1,634.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $586.29 / $1,190.68 / $3,280.24	Facility		$586.29	$1,190.68	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.87 / $1,162.17 / $2,824.57	Professional		$537.87	$1,162.17	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $298.35 / $1,071.12	Professional		$76.14	$298.35	$1,071.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $790.53 / $1,061.58 / $1,086.07	Facility		$790.53	$1,061.58	$1,086.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $722.08 / $740.80 / $2,961.46	Facility		$722.08	$740.80	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $825.16 / $1,179.56 / $1,470.41	Professional		$825.16	$1,179.56	$1,470.41
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 $736.43 / $1,055.32 / $1,413.28	Professional		$736.43	$1,055.32	$1,413.28
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 $667.38 / $873.94 / $1,550.60	Professional		$667.38	$873.94	$1,550.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $455.79 / $455.79 / $587.20	Professional		$455.79	$455.79	$587.20