Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.16 / $4,011.00 / $18,711.00	Facility		$1,125.16	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.27 / $763.78 / $1,692.38	Professional		$563.27	$763.78	$1,692.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,493.37 / $5,682.43 / $12,100.72	Facility		$2,493.37	$5,682.43	$12,100.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $884.82 / $1,440.36 / $5,662.65	Professional		$884.82	$1,440.36	$5,662.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,190.81	Facility		$625.25	$761.81	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.30 / $1,097.05 / $1,871.69	Professional		$616.30	$1,097.05	$1,871.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $586.80 / $1,217.58 / $2,003.94	Facility		$586.80	$1,217.58	$2,003.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.98 / $1,198.19 / $1,789.24	Professional		$575.98	$1,198.19	$1,789.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $636.05 / $1,370.80	Professional		$93.33	$636.05	$1,370.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $839.37 / $1,165.80 / $1,260.27	Facility		$839.37	$1,165.80	$1,260.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $826.73 / $1,795.87	Facility		$598.07	$826.73	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.13 / $1,367.49 / $1,706.26	Professional		$954.13	$1,367.49	$1,706.26
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 $843.15 / $1,223.55 / $1,628.95	Professional		$843.15	$1,223.55	$1,628.95
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 $696.00 / $1,021.36 / $1,722.60	Professional		$696.00	$1,021.36	$1,722.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $522.60 / $522.60 / $669.33	Professional		$522.60	$522.60	$669.33