Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $996.01 / $5,128.00 / $22,024.00	Facility		$996.01	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $996.01 / $1,093.00	Professional		$294.39	$996.01	$1,093.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $1,272.51 / $3,149.56	Facility		$90.00	$1,272.51	$3,149.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,137.65 / $1,846.27 / $7,165.20	Professional		$1,137.65	$1,846.27	$7,165.20
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 $2,353.00 / $2,353.00 / $2,353.00	Professional		$2,353.00	$2,353.00	$2,353.00
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 $831.54 / $1,085.38 / $1,541.00	Facility		$831.54	$1,085.38	$1,541.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.94 / $1,121.94 / $1,538.84	Facility		$1,121.94	$1,121.94	$1,538.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,090.17 / $1,738.39 / $2,273.66	Professional		$1,090.17	$1,738.39	$2,273.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,217.17 / $1,399.35 / $2,037.65	Professional		$1,217.17	$1,399.35	$2,037.65
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.60 / $799.00 / $2,370.30	Professional		$516.60	$799.00	$2,370.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $709.30 / $709.30 / $709.30	Professional		$709.30	$709.30	$709.30