Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,110.08 / $5,116.62 / $21,917.86	Facility		$1,110.08	$5,116.62	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $539.67 / $830.11 / $1,577.21	Professional		$539.67	$830.11	$1,577.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,193.67 / $9,558.29 / $26,542.00	Facility		$2,193.67	$9,558.29	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $847.08 / $1,446.19 / $5,399.25	Professional		$847.08	$1,446.19	$5,399.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.15 / $2,285.42 / $3,991.53	Facility		$1,877.15	$2,285.42	$3,991.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $604.40 / $1,084.03 / $1,832.07	Professional		$604.40	$1,084.03	$1,832.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $671.25 / $1,262.32 / $3,651.07	Facility		$671.25	$1,262.32	$3,651.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $577.91 / $1,219.70 / $2,689.31	Professional		$577.91	$1,219.70	$2,689.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.67 / $697.22 / $1,394.61	Professional		$98.67	$697.22	$1,394.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $848.36 / $1,173.17 / $1,229.45	Facility		$848.36	$1,173.17	$1,229.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $823.55 / $1,460.91 / $2,583.64	Facility		$823.55	$1,460.91	$2,583.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $872.64 / $1,387.12 / $1,674.24	Professional		$872.64	$1,387.12	$1,674.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,069.92 / $9,804.29 / $18,754.53	Facility		$7,069.92	$9,804.29	$18,754.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $972.63 / $1,206.33 / $1,583.86	Professional		$972.63	$1,206.33	$1,583.86
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 $636.26 / $995.29 / $1,760.10	Professional		$636.26	$995.29	$1,760.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $510.45 / $647.70 / $647.70	Professional		$510.45	$647.70	$647.70