Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $951.53 / $5,128.00 / $20,680.40	Facility		$951.53	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.48 / $742.08 / $1,541.53	Professional		$535.48	$742.08	$1,541.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,660.66 / $4,589.03 / $11,500.00	Facility		$2,660.66	$4,589.03	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $815.72 / $1,335.01 / $5,110.50	Professional		$815.72	$1,335.01	$5,110.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,985.59	Facility		$714.97	$870.49	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.30 / $1,044.10 / $1,777.35	Professional		$587.30	$1,044.10	$1,777.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $1,181.02 / $1,816.23	Facility		$572.89	$1,181.02	$1,816.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.11 / $1,161.46 / $1,642.97	Professional		$552.11	$1,161.46	$1,642.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $361.27 / $1,132.61	Professional		$78.54	$361.27	$1,132.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $782.53 / $1,099.47 / $1,175.84	Facility		$782.53	$1,099.47	$1,175.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $773.27 / $1,613.81	Facility		$537.44	$773.27	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $890.76 / $1,275.89 / $1,591.96	Professional		$890.76	$1,275.89	$1,591.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,589.03 / $8,712.50	Facility		$3,434.81	$4,589.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $788.63 / $1,141.58 / $1,519.83	Professional		$788.63	$1,141.58	$1,519.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,297.00 / $11,941.00	Facility		$1,950.00	$3,297.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $672.81 / $935.37 / $1,647.29	Professional		$672.81	$935.37	$1,647.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $489.19 / $489.19 / $640.84	Professional		$489.19	$489.19	$640.84