Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $752.56 / $2,888.25 / $5,196.64	Facility		$752.56	$2,888.25	$5,196.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.85 / $744.64 / $752.56	Professional		$419.85	$744.64	$752.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $831.78 / $1,386.30 / $3,762.81	Facility		$831.78	$1,386.30	$3,762.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $201.36 / $608.38 / $1,029.82	Professional		$201.36	$608.38	$1,029.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.86 / $1,621.97 / $2,045.48	Facility		$823.86	$1,621.97	$2,045.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.25 / $910.25 / $1,137.82	Professional		$910.25	$910.25	$1,137.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $792.17 / $792.17 / $1,109.04	Facility		$792.17	$792.17	$1,109.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $792.17 / $1,188.25 / $2,178.46	Facility		$792.17	$1,188.25	$2,178.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.34 / $831.78 / $1,124.88	Professional		$673.34	$831.78	$1,124.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $831.78 / $1,299.95 / $2,178.46	Facility		$831.78	$1,299.95	$2,178.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $717.14 / $966.44 / $2,233.39	Professional		$717.14	$966.44	$2,233.39
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $332.71 / $792.17	Professional		$332.71	$332.71	$792.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $356.48 / $356.48 / $410.34	Professional		$356.48	$356.48	$410.34