Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.71 / $5,132.00 / $22,024.00	Facility		$1,041.71	$5,132.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.26 / $730.50 / $1,639.43	Professional		$532.26	$730.50	$1,639.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,392.97 / $5,750.27 / $13,152.00	Facility		$3,392.97	$5,750.27	$13,152.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $843.80 / $1,280.95 / $8,224.15	Professional		$843.80	$1,280.95	$8,224.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,877.15 / $2,190.81 / $2,285.42	Facility		$1,877.15	$2,190.81	$2,285.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.73 / $1,029.51 / $1,840.30	Professional		$584.73	$1,029.51	$1,840.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $600.74 / $1,206.24 / $1,921.26	Facility		$600.74	$1,206.24	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $557.54 / $1,160.58 / $1,738.11	Professional		$557.54	$1,160.58	$1,738.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.86 / $627.60 / $1,341.58	Professional		$92.86	$627.60	$1,341.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $799.43 / $1,105.50 / $1,212.03	Facility		$799.43	$1,105.50	$1,212.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $768.29 / $1,795.87	Facility		$598.07	$768.29	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $862.67 / $1,280.95 / $1,640.94	Professional		$862.67	$1,280.95	$1,640.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,179.46 / $5,682.43 / $10,585.41	Facility		$4,179.46	$5,682.43	$10,585.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $783.55 / $1,131.41 / $1,566.59	Professional		$783.55	$1,131.41	$1,566.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.92 / $923.46 / $1,621.09	Professional		$703.92	$923.46	$1,621.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $500.79 / $500.79 / $653.00	Professional		$500.79	$500.79	$653.00