Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.26 / $4,011.00 / $18,711.00	Facility		$1,062.26	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.35 / $735.73 / $1,659.86	Professional		$505.35	$735.73	$1,659.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $768.29 / $5,246.20 / $10,466.57	Facility		$768.29	$5,246.20	$10,466.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $820.20 / $1,255.04 / $6,579.65	Professional		$820.20	$1,255.04	$6,579.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $2,190.81	Facility		$466.83	$568.48	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.26 / $1,060.41 / $1,773.91	Professional		$588.26	$1,060.41	$1,773.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $576.79 / $1,196.97 / $1,921.26	Facility		$576.79	$1,196.97	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.89 / $1,160.65 / $1,757.81	Professional		$552.89	$1,160.65	$1,757.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $604.59 / $1,281.39	Professional		$93.33	$604.59	$1,281.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $804.27 / $1,112.20 / $1,169.82	Facility		$804.27	$1,112.20	$1,169.82
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 $880.14 / $1,269.33 / $1,583.80	Professional		$880.14	$1,269.33	$1,583.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,548.09 / $5,468.48 / $10,466.57	Facility		$3,548.09	$5,468.48	$10,466.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $783.55 / $1,135.74 / $1,512.04	Professional		$783.55	$1,135.74	$1,512.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $1,862.00 / $10,522.00	Facility		$1,547.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.60 / $942.15 / $1,653.91	Professional		$667.60	$942.15	$1,653.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $483.94 / $483.94 / $627.36	Professional		$483.94	$483.94	$627.36