Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.15 / $1,777.28 / $18,711.00	Facility		$866.15	$1,777.28	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.89 / $866.15 / $1,803.62	Professional		$490.89	$866.15	$1,803.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,301.60 / $9,172.83 / $20,286.13	Facility		$2,301.60	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $813.84 / $1,314.96 / $4,950.00	Professional		$813.84	$1,314.96	$4,950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,740.43	Facility		$883.20	$1,075.31	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $607.12 / $1,040.03 / $1,855.05	Professional		$607.12	$1,040.03	$1,855.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $599.66 / $1,118.04 / $2,806.97	Facility		$599.66	$1,118.04	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $595.32 / $1,093.79 / $2,070.91	Professional		$595.32	$1,093.79	$2,070.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $370.30 / $1,306.53	Professional		$78.37	$370.30	$1,306.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $884.64 / $1,286.40 / $1,323.25	Facility		$884.64	$1,286.40	$1,323.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $876.56 / $902.58 / $2,961.46	Facility		$876.56	$902.58	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $800.89 / $1,178.88 / $1,627.82	Professional		$800.89	$1,178.88	$1,627.82
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 $759.87 / $1,111.91 / $1,590.09	Professional		$759.87	$1,111.91	$1,590.09
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 $806.40 / $1,071.95 / $1,881.76	Professional		$806.40	$1,071.95	$1,881.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $523.96 / $545.23 / $721.27	Professional		$523.96	$545.23	$721.27