Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,183.24 / $6,470.00 / $20,680.40	Facility		$1,183.24	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $566.95 / $819.05 / $1,723.77	Professional		$566.95	$819.05	$1,723.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $4,634.87 / $9,172.83 / $20,286.13	Facility		$4,634.87	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $915.38 / $1,460.93 / $5,646.08	Professional		$915.38	$1,460.93	$5,646.08
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 $646.66 / $1,153.69 / $1,960.58	Professional		$646.66	$1,153.69	$1,960.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $672.94 / $1,361.74 / $3,280.24	Facility		$672.94	$1,361.74	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.10 / $1,327.47 / $2,824.57	Professional		$616.10	$1,327.47	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $373.32 / $1,231.79	Professional		$78.68	$373.32	$1,231.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $899.15 / $1,224.08 / $1,299.80	Facility		$899.15	$1,224.08	$1,299.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $857.08 / $886.58 / $2,961.46	Facility		$857.08	$886.58	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $986.50 / $1,410.38 / $1,759.77	Professional		$986.50	$1,410.38	$1,759.77
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 $874.10 / $1,261.93 / $1,680.04	Professional		$874.10	$1,261.93	$1,680.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $11,941.00	Facility		$2,155.00	$3,297.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $755.56 / $1,045.94 / $1,823.99	Professional		$755.56	$1,045.94	$1,823.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $541.09 / $541.09 / $704.21	Professional		$541.09	$541.09	$704.21