Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.08 / $5,128.00 / $22,024.00	Facility		$615.08	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.97 / $615.08 / $674.99	Professional		$224.97	$615.08	$674.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $1,034.19 / $3,424.26	Facility		$90.00	$1,034.19	$3,424.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $906.91 / $1,619.87 / $6,603.98	Professional		$906.91	$1,619.87	$6,603.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,315.23 / $2,315.23 / $2,315.23	Professional		$2,315.23	$2,315.23	$2,315.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $746.79 / $1,061.34 / $1,445.19	Facility		$746.79	$1,061.34	$1,445.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $795.02 / $795.02 / $1,034.19	Facility		$795.02	$795.02	$1,034.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.52 / $1,530.71 / $2,052.77	Professional		$1,064.52	$1,530.71	$2,052.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $906.91 / $1,323.41 / $1,866.52	Professional		$906.91	$1,323.41	$1,866.52
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,323.00 / $5,793.00	Facility		$702.00	$1,323.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $1,017.90 / $1,918.23	Professional		$737.10	$1,017.90	$1,918.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $458.50 / $458.50 / $458.50	Professional		$458.50	$458.50	$458.50