Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $4,500.00 / $20,680.40	Facility		$801.00	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.71 / $647.17 / $1,329.34	Professional		$467.71	$647.17	$1,329.34
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,722.80 / $16,547.20 / $26,542.00	Facility		$3,722.80	$16,547.20	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $712.86 / $1,149.46 / $4,794.81	Professional		$712.86	$1,149.46	$4,794.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $6,910.09	Facility		$714.97	$918.00	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.22 / $907.43 / $1,525.01	Professional		$504.22	$907.43	$1,525.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $561.00 / $1,127.95 / $6,320.69	Facility		$561.00	$1,127.95	$6,320.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $493.13 / $1,052.74 / $4,655.70	Professional		$493.13	$1,052.74	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.22 / $581.59 / $1,185.01	Professional		$94.22	$581.59	$1,185.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $735.98 / $970.83 / $1,003.66	Facility		$735.98	$970.83	$1,003.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $667.27 / $1,994.21 / $3,953.90	Facility		$667.27	$1,994.21	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $717.09 / $1,136.02 / $1,371.17	Professional		$717.09	$1,136.02	$1,371.17
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 $788.06 / $984.79 / $1,296.68	Professional		$788.06	$984.79	$1,296.68
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 $514.64 / $827.08 / $1,441.50	Professional		$514.64	$827.08	$1,441.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $411.89 / $542.44 / $542.44	Professional		$411.89	$542.44	$542.44