Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,144.60 / $5,128.00 / $20,680.40	Facility		$1,144.60	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.83 / $792.53 / $1,718.98	Professional		$565.83	$792.53	$1,718.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $882.00 / $1,424.83 / $5,458.28	Professional		$882.00	$1,424.83	$5,458.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $629.98 / $1,116.02 / $1,897.14	Professional		$629.98	$1,116.02	$1,897.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $597.69 / $1,268.02 / $7,292.72	Facility		$597.69	$1,268.02	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $584.04 / $1,220.13 / $6,279.70	Professional		$584.04	$1,220.13	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $361.44 / $1,174.82	Professional		$78.54	$361.44	$1,174.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $840.35 / $1,166.47 / $1,256.25	Facility		$840.35	$1,166.47	$1,256.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $828.54 / $856.88 / $6,526.97	Facility		$828.54	$856.88	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $953.10 / $1,363.13 / $1,700.81	Professional		$953.10	$1,363.13	$1,700.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $845.00 / $1,219.65 / $1,632.40	Professional		$845.00	$1,219.65	$1,632.40
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 $699.49 / $986.72 / $1,791.01	Professional		$699.49	$986.72	$1,791.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $522.32 / $522.32 / $682.29	Professional		$522.32	$522.32	$682.29