Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $859.49 / $4,500.00 / $20,680.40	Facility		$859.49	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $525.62 / $810.76 / $1,650.19	Professional		$525.62	$810.76	$1,650.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,301.02 / $7,929.30 / $26,542.00	Facility		$1,301.02	$7,929.30	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $882.45 / $1,494.93 / $5,501.25	Professional		$882.45	$1,494.93	$5,501.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $3,311.26	Facility		$714.97	$918.00	$3,311.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.74 / $1,108.94 / $1,874.17	Professional		$579.74	$1,108.94	$1,874.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $666.72 / $1,252.83 / $3,028.83	Facility		$666.72	$1,252.83	$3,028.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.12 / $1,212.38 / $2,230.98	Professional		$585.12	$1,212.38	$2,230.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $710.04 / $1,458.65	Professional		$98.49	$710.04	$1,458.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $865.34 / $1,136.00 / $1,253.57	Facility		$865.34	$1,136.00	$1,253.57
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $844.39 / $1,208.98 / $1,915.04	Facility		$844.39	$1,208.98	$1,915.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $894.72 / $1,418.32 / $1,711.90	Professional		$894.72	$1,418.32	$1,711.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,324.56 / $7,956.97 / $15,220.78	Facility		$5,324.56	$7,956.97	$15,220.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $997.24 / $1,229.99 / $1,620.29	Professional		$997.24	$1,229.99	$1,620.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.49 / $1,011.09 / $1,799.70	Professional		$653.49	$1,011.09	$1,799.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $521.21 / $667.45 / $667.45	Professional		$521.21	$667.45	$667.45