Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.67 / $3,810.00 / $18,711.00	Facility		$969.67	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $612.16 / $877.07 / $1,782.20	Professional		$612.16	$877.07	$1,782.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $16,227.47 / $21,924.91	Facility		$55.00	$16,227.47	$21,924.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $959.52 / $1,582.49 / $5,779.58	Professional		$959.52	$1,582.49	$5,779.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $8,758.29	Facility		$714.97	$918.00	$8,758.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $656.73 / $1,211.83 / $2,048.05	Professional		$656.73	$1,211.83	$2,048.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $734.40 / $1,378.76 / $7,680.74	Facility		$734.40	$1,378.76	$7,680.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $647.07 / $1,333.59 / $5,900.94	Professional		$647.07	$1,333.59	$5,900.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.09 / $330.22 / $1,437.17	Professional		$81.09	$330.22	$1,437.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $953.54 / $1,260.94 / $1,341.34	Facility		$953.54	$1,260.94	$1,341.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $905.55 / $1,994.21 / $5,082.47	Facility		$905.55	$1,994.21	$5,082.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $951.46 / $1,528.65 / $1,845.07	Professional		$951.46	$1,528.65	$1,845.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,595.73 / $31,745.76	Facility		$10,761.59	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,069.47 / $1,316.11 / $1,733.73	Professional		$1,069.47	$1,316.11	$1,733.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $3,509.00 / $16,315.00	Facility		$1,400.00	$3,509.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $715.16 / $1,110.39 / $1,939.68	Professional		$715.16	$1,110.39	$1,939.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $552.69 / $738.90 / $738.90	Professional		$552.69	$738.90	$738.90