Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,138.68 / $7,682.00 / $18,800.00	Facility		$1,138.68	$7,682.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $570.13 / $862.32 / $1,718.59	Professional		$570.13	$862.32	$1,718.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $8,497.21 / $20,273.81 / $38,781.51	Facility		$8,497.21	$20,273.81	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $877.30 / $1,429.00 / $5,428.73	Professional		$877.30	$1,429.00	$5,428.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $11,926.23	Facility		$714.97	$870.49	$11,926.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.50 / $1,110.25 / $1,886.61	Professional		$611.50	$1,110.25	$1,886.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $617.26 / $1,261.48 / $10,458.90	Facility		$617.26	$1,261.48	$10,458.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.45 / $1,238.73 / $9,006.07	Professional		$583.45	$1,238.73	$9,006.07
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 $843.03 / $1,165.80 / $1,249.55	Facility		$843.03	$1,165.80	$1,249.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $825.37 / $852.31 / $8,497.21	Facility		$825.37	$852.31	$8,497.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $948.47 / $1,355.86 / $1,691.74	Professional		$948.47	$1,355.86	$1,691.74
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 $841.76 / $1,213.15 / $1,624.48	Professional		$841.76	$1,213.15	$1,624.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,853.00 / $5,851.00 / $19,271.00	Facility		$2,853.00	$5,851.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $717.78 / $982.24 / $1,782.32	Professional		$717.78	$982.24	$1,782.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $520.11 / $520.11 / $678.78	Professional		$520.11	$520.11	$678.78