Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $5,116.62 / $20,680.40	Facility		$801.00	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $552.22 / $759.77 / $1,563.14	Professional		$552.22	$759.77	$1,563.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $810.50 / $1,339.88 / $4,888.95	Professional		$810.50	$1,339.88	$4,888.95
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 $618.46 / $1,047.47 / $1,750.13	Professional		$618.46	$1,047.47	$1,750.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $637.54 / $1,264.27 / $3,280.24	Facility		$637.54	$1,264.27	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $609.57 / $1,222.48 / $2,824.57	Professional		$609.57	$1,222.48	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $334.03 / $1,162.35	Professional		$78.54	$334.03	$1,162.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $833.65 / $1,114.88 / $1,154.41	Facility		$833.65	$1,114.88	$1,154.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.21 / $787.41 / $2,961.46	Facility		$764.21	$787.41	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.97 / $1,252.61 / $1,562.93	Professional		$873.97	$1,252.61	$1,562.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $779.39 / $1,120.78 / $1,496.88	Professional		$779.39	$1,120.78	$1,496.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.52 / $965.12 / $1,642.31	Professional		$715.52	$965.12	$1,642.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $479.26 / $479.26 / $620.22	Professional		$479.26	$479.26	$620.22