Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.91 / $2,019.88 / $22,024.00	Facility		$920.91	$2,019.88	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.73 / $920.91 / $2,019.88	Professional		$713.73	$920.91	$2,019.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $977.12 / $5,246.20 / $10,466.57	Facility		$977.12	$5,246.20	$10,466.57
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,092.74 / $1,715.86 / $6,736.05	Professional		$1,092.74	$1,715.86	$6,736.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $2,190.81	Facility		$714.97	$870.49	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $771.30 / $1,381.92 / $2,347.73	Professional		$771.30	$1,381.92	$2,347.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $793.49 / $1,489.46 / $2,245.23	Facility		$793.49	$1,489.46	$2,245.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $726.57 / $1,476.07 / $1,961.08	Professional		$726.57	$1,476.07	$1,961.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $782.68 / $1,711.52	Professional		$93.33	$782.68	$1,711.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,020.18 / $1,392.26 / $1,556.41	Facility		$1,020.18	$1,392.26	$1,556.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $977.12 / $1,795.87	Facility		$598.07	$977.12	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,179.97 / $1,681.26 / $2,107.19	Professional		$1,179.97	$1,681.26	$2,107.19
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 $996.53 / $1,490.44 / $2,011.72	Professional		$996.53	$1,490.44	$2,011.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,471.00 / $2,542.00 / $10,522.00	Facility		$1,471.00	$2,542.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $904.73 / $1,157.20 / $2,094.17	Professional		$904.73	$1,157.20	$2,094.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $645.45 / $645.45 / $837.88	Professional		$645.45	$645.45	$837.88