Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $423.57 / $2,812.16 / $14,464.32	Facility		$423.57	$2,812.16	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.81 / $510.43 / $3,762.82	Professional		$189.81	$510.43	$3,762.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,044.61 / $18,042.93 / $37,074.37	Facility		$3,044.61	$18,042.93	$37,074.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $538.11 / $3,895.36 / $15,677.84	Professional		$538.11	$3,895.36	$15,677.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $13,864.05	Facility		$714.97	$870.49	$13,864.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.20 / $967.37 / $6,057.13	Professional		$303.20	$967.37	$6,057.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.60 / $482.65 / $9,340.95	Facility		$193.60	$482.65	$9,340.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $501.27 / $7,097.12	Professional		$200.42	$501.27	$7,097.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $2,220.83 / $4,782.03	Professional		$320.00	$2,220.83	$4,782.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $286.82 / $3,379.54 / $4,265.22	Facility		$286.82	$3,379.54	$4,265.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,909.26 / $3,044.61 / $10,635.67	Facility		$2,909.26	$3,044.61	$10,635.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.32 / $1,076.32 / $5,387.37	Professional		$534.32	$1,076.32	$5,387.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,805.53 / $19,381.37 / $37,074.37	Facility		$12,805.53	$19,381.37	$37,074.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $519.65 / $2,610.60 / $5,215.70	Professional		$519.65	$2,610.60	$5,215.70
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 $289.44 / $3,035.24 / $6,259.35	Professional		$289.44	$3,035.24	$6,259.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.67 / $1,696.72 / $2,384.92	Professional		$346.67	$1,696.72	$2,384.92