Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $869.19 / $1,733.00 / $18,711.00	Facility		$869.19	$1,733.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.29 / $683.00 / $1,454.58	Professional		$438.29	$683.00	$1,454.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,312.12 / $9,172.83 / $20,286.13	Facility		$2,312.12	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $785.14 / $1,298.29 / $4,876.64	Professional		$785.14	$1,298.29	$4,876.64
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 $576.53 / $1,041.58 / $1,857.54	Professional		$576.53	$1,041.58	$1,857.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $586.21 / $1,087.32 / $2,806.97	Facility		$586.21	$1,087.32	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $583.60 / $1,050.53 / $2,073.67	Professional		$583.60	$1,050.53	$2,073.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $381.21 / $1,304.26	Professional		$78.68	$381.21	$1,304.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $780.68 / $1,238.60 / $1,315.88	Facility		$780.68	$1,238.60	$1,315.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $871.57 / $897.55 / $2,961.46	Facility		$871.57	$897.55	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.66 / $1,168.71 / $1,624.05	Professional		$803.66	$1,168.71	$1,624.05
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 $755.56 / $1,109.30 / $1,581.05	Professional		$755.56	$1,109.30	$1,581.05
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 $757.20 / $1,079.01 / $1,874.08	Professional		$757.20	$1,079.01	$1,874.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $533.85 / $539.99 / $719.32	Professional		$533.85	$539.99	$719.32