Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.02 / $5,128.00 / $20,680.40	Facility		$921.02	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.78 / $684.91 / $1,497.69	Professional		$494.78	$684.91	$1,497.69
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 $763.29 / $1,231.59 / $4,719.97	Professional		$763.29	$1,231.59	$4,719.97
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 $546.64 / $963.37 / $1,639.85	Professional		$546.64	$963.37	$1,639.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $549.03 / $1,124.77 / $3,280.24	Facility		$549.03	$1,124.77	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $510.96 / $1,097.73 / $2,824.57	Professional		$510.96	$1,097.73	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.81 / $204.22 / $1,043.16	Professional		$55.81	$204.22	$1,043.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $747.74 / $1,016.39 / $1,086.07	Facility		$747.74	$1,016.39	$1,086.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.29 / $740.80 / $2,961.46	Facility		$715.29	$740.80	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $822.59 / $1,178.47 / $1,470.41	Professional		$822.59	$1,178.47	$1,470.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,145.87 / $9,167.59 / $17,546.59	Facility		$6,145.87	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $729.50 / $1,054.43 / $1,408.88	Professional		$729.50	$1,054.43	$1,408.88
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 $639.65 / $868.10 / $1,529.84	Professional		$639.65	$868.10	$1,529.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $451.37 / $451.37 / $589.54	Professional		$451.37	$451.37	$589.54