Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.20 / $2,812.16 / $14,464.32	Facility		$435.20	$2,812.16	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.28 / $726.10 / $5,401.46	Professional		$247.28	$726.10	$5,401.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,896.58 / $33,130.07 / $73,843.74	Facility		$6,896.58	$33,130.07	$73,843.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $646.33 / $5,077.18 / $28,324.16	Professional		$646.33	$5,077.18	$28,324.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $21,531.91	Facility		$466.83	$568.48	$21,531.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.03 / $1,226.41 / $10,415.69	Professional		$328.03	$1,226.41	$10,415.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $206.15 / $551.79 / $14,507.21	Facility		$206.15	$551.79	$14,507.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.90 / $572.85 / $10,479.93	Professional		$213.90	$572.85	$10,479.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $500.34 / $3,968.52 / $8,608.64	Professional		$500.34	$3,968.52	$8,608.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $279.56 / $3,852.50 / $7,775.35	Facility		$279.56	$3,852.50	$7,775.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,473.60 / $5,303.49 / $21,634.42	Facility		$3,473.60	$5,303.49	$21,634.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.72 / $1,527.75 / $8,297.58	Professional		$646.72	$1,527.75	$8,297.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,671.67 / $37,746.68 / $73,843.74	Facility		$22,671.67	$37,746.68	$73,843.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $602.99 / $2,442.64 / $7,665.10	Professional		$602.99	$2,442.64	$7,665.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $273.35 / $3,334.99 / $6,925.28	Professional		$273.35	$3,334.99	$6,925.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $479.30 / $3,084.50 / $4,344.28	Professional		$479.30	$3,084.50	$4,344.28