Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.67 / $1,614.09 / $22,024.00	Facility		$794.67	$1,614.09	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.35 / $794.67 / $1,723.77	Professional		$583.35	$794.67	$1,723.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $862.97 / $5,471.61 / $10,585.41	Facility		$862.97	$5,471.61	$10,585.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $905.05 / $1,500.85 / $5,659.20	Professional		$905.05	$1,500.85	$5,659.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,776.78	Facility		$714.97	$870.49	$2,776.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $639.32 / $1,136.39 / $1,924.13	Professional		$639.32	$1,136.39	$1,924.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $631.83 / $1,329.04 / $2,435.14	Facility		$631.83	$1,329.04	$2,435.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.11 / $1,262.58 / $2,096.88	Professional		$604.11	$1,262.58	$2,096.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $648.07 / $1,375.97	Professional		$93.33	$648.07	$1,375.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $848.19 / $1,146.25 / $1,289.08	Facility		$848.19	$1,146.25	$1,289.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $862.97 / $1,795.87	Facility		$598.07	$862.97	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $981.87 / $1,409.70 / $1,745.26	Professional		$981.87	$1,409.70	$1,745.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,179.46 / $5,682.43 / $10,585.41	Facility		$4,179.46	$5,682.43	$10,585.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $880.11 / $1,254.23 / $1,666.18	Professional		$880.11	$1,254.23	$1,666.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $733.99 / $1,051.04 / $1,845.06	Professional		$733.99	$1,051.04	$1,845.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $534.47 / $534.47 / $681.29	Professional		$534.47	$534.47	$681.29