Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,011.33 / $5,128.00 / $20,680.40	Facility		$1,011.33	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.43 / $700.89 / $1,507.35	Professional		$505.43	$700.89	$1,507.35
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 $778.98 / $1,244.83 / $4,820.78	Professional		$778.98	$1,244.83	$4,820.78
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 $551.89 / $986.08 / $1,678.74	Professional		$551.89	$986.08	$1,678.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $535.91 / $1,112.15 / $3,280.24	Facility		$535.91	$1,112.15	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $515.20 / $1,097.78 / $2,824.57	Professional		$515.20	$1,097.78	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $317.80 / $1,104.26	Professional		$77.42	$317.80	$1,104.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $737.45 / $1,017.68 / $1,109.52	Facility		$737.45	$1,017.68	$1,109.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $729.33 / $756.79 / $2,961.46	Facility		$729.33	$756.79	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $840.41 / $1,203.91 / $1,502.16	Professional		$840.41	$1,203.91	$1,502.16
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 $743.82 / $1,077.19 / $1,439.68	Professional		$743.82	$1,077.19	$1,439.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $639.00 / $899.79 / $1,571.16	Professional		$639.00	$899.79	$1,571.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $461.86 / $461.86 / $606.34	Professional		$461.86	$461.86	$606.34