Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $888.34 / $2,769.52 / $18,711.00	Facility		$888.34	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.99 / $730.46 / $1,573.47	Professional		$510.99	$730.46	$1,573.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,403.52 / $5,750.27 / $12,000.00	Facility		$3,403.52	$5,750.27	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $827.58 / $1,279.42 / $14,265.96	Professional		$827.58	$1,279.42	$14,265.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $2,285.42 / $3,096.61	Facility		$466.83	$2,285.42	$3,096.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.45 / $1,020.15 / $1,800.25	Professional		$541.45	$1,020.15	$1,800.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $523.26 / $1,102.33 / $2,941.13	Facility		$523.26	$1,102.33	$2,941.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $522.97 / $1,048.74 / $2,666.33	Professional		$522.97	$1,048.74	$2,666.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $152.95 / $869.08 / $1,528.29	Professional		$152.95	$869.08	$1,528.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $668.33 / $1,089.69 / $1,238.72	Facility		$668.33	$1,089.69	$1,238.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.54 / $800.66 / $2,649.43	Facility		$775.54	$800.66	$2,649.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $893.50 / $1,273.70 / $1,589.24	Professional		$893.50	$1,273.70	$1,589.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $790.94 / $1,139.64 / $1,517.23	Professional		$790.94	$1,139.64	$1,517.23
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $653.25 / $1,137.83 / $1,997.29	Professional		$653.25	$1,137.83	$1,997.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $486.44 / $486.44 / $602.79	Professional		$486.44	$486.44	$602.79