Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,297.14 / $4,011.00 / $18,711.00	Facility		$1,297.14	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.20 / $888.98 / $1,968.70	Professional		$650.20	$888.98	$1,968.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $970.67 / $8,957.00 / $17,546.59	Facility		$970.67	$8,957.00	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,004.51 / $1,601.69 / $6,182.55	Professional		$1,004.51	$1,601.69	$6,182.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $732.70 / $1,264.74 / $2,146.06	Professional		$732.70	$1,264.74	$2,146.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $722.10 / $1,474.96 / $3,280.24	Facility		$722.10	$1,474.96	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.85 / $1,440.57 / $2,824.57	Professional		$668.85	$1,440.57	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $724.31 / $1,567.38	Professional		$93.33	$724.31	$1,567.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $979.02 / $1,335.98 / $1,423.08	Facility		$979.02	$1,335.98	$1,423.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $941.33 / $970.67 / $2,961.46	Facility		$941.33	$970.67	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,081.55 / $1,544.15 / $1,926.68	Professional		$1,081.55	$1,544.15	$1,926.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,013.44 / $9,167.59 / $17,546.59	Facility		$6,013.44	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $960.04 / $1,381.62 / $1,839.38	Professional		$960.04	$1,381.62	$1,839.38
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 $843.44 / $1,157.76 / $2,014.03	Professional		$843.44	$1,157.76	$2,014.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $591.89 / $591.89 / $769.99	Professional		$591.89	$591.89	$769.99