Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $3,925.18 / $18,711.00	Facility		$699.00	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.33 / $578.21 / $1,176.07	Professional		$443.33	$578.21	$1,176.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,761.50 / $14,087.45 / $26,963.11	Facility		$5,761.50	$14,087.45	$26,963.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $682.76 / $1,177.26 / $4,231.80	Professional		$682.76	$1,177.26	$4,231.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,164.22 / $5,271.55 / $5,271.55	Facility		$3,164.22	$5,271.55	$5,271.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.83 / $1,015.05 / $1,531.56	Professional		$574.83	$1,015.05	$1,531.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $547.47 / $1,027.41 / $5,402.51	Facility		$547.47	$1,027.41	$5,402.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.47 / $982.52 / $3,551.73	Professional		$547.47	$982.52	$3,551.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.91 / $562.48 / $1,195.72	Professional		$90.91	$562.48	$1,195.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $633.08 / $871.00 / $1,000.98	Facility		$633.08	$871.00	$1,000.98
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.57 / $682.76 / $1,964.09	Facility		$659.57	$682.76	$1,964.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $729.98 / $1,138.88 / $1,355.21	Professional		$729.98	$1,138.88	$1,355.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,791.87 / $14,087.45 / $26,963.11	Facility		$8,791.87	$14,087.45	$26,963.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $672.67 / $972.93 / $1,322.94	Professional		$672.67	$972.93	$1,322.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $573.29 / $970.99 / $1,432.81	Professional		$573.29	$970.99	$1,432.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $547.85 / $547.85 / $547.85	Professional		$547.85	$547.85	$547.85