Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $738.00 / $5,128.00 / $22,024.00	Facility		$738.00	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.98 / $529.62 / $1,085.41	Professional		$376.98	$529.62	$1,085.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,944.47 / $15,338.55 / $26,542.00	Facility		$2,944.47	$15,338.55	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $597.34 / $963.59 / $3,432.75	Professional		$597.34	$963.59	$3,432.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.15 / $2,285.42 / $6,405.36	Facility		$1,877.15	$2,285.42	$6,405.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.54 / $745.89 / $1,216.69	Professional		$420.54	$745.89	$1,216.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $489.07 / $924.51 / $6,329.74	Facility		$489.07	$924.51	$6,329.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $401.76 / $886.52 / $4,315.64	Professional		$401.76	$886.52	$4,315.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.38 / $637.43 / $1,075.09	Professional		$105.38	$637.43	$1,075.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $613.53 / $783.85 / $834.15	Facility		$613.53	$783.85	$834.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.24 / $1,679.99 / $3,525.62	Facility		$542.24	$1,679.99	$3,525.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.03 / $910.80 / $1,099.32	Professional		$578.03	$910.80	$1,099.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,473.20 / $16,151.01 / $30,895.07	Facility		$10,473.20	$16,151.01	$30,895.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $640.40 / $792.82 / $1,046.51	Professional		$640.40	$792.82	$1,046.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $453.75 / $696.20 / $1,155.70	Professional		$453.75	$696.20	$1,155.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $332.94 / $423.57 / $423.57	Professional		$332.94	$423.57	$423.57