Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $6,072.60 / $18,711.00	Facility		$699.00	$6,072.60	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.66 / $1,000.00 / $2,811.16	Professional		$96.66	$1,000.00	$2,811.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.51 / $5,053.26 / $9,897.40	Facility		$1,040.51	$5,053.26	$9,897.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $169.76 / $2,761.00 / $22,738.24	Professional		$169.76	$2,761.00	$22,738.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $2,323.83	Facility		$644.92	$1,110.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $107.97 / $1,875.40	Professional		$107.97	$107.97	$1,875.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,749.26 / $2,612.91 / $4,313.41	Facility		$1,749.26	$2,612.91	$4,313.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.02 / $2,930.16 / $4,972.64	Professional		$282.02	$2,930.16	$4,972.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,508.64 / $8,537.74 / $15,052.85	Professional		$1,508.64	$8,537.74	$15,052.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.93 / $1,644.47 / $6,197.50	Facility		$459.93	$1,644.47	$6,197.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $2,321.17 / $4,227.25	Facility		$236.51	$2,321.17	$4,227.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $311.33 / $7,436.39	Professional		$134.40	$311.33	$7,436.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,273.61 / $5,053.26 / $9,885.68	Facility		$3,273.61	$5,053.26	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.54 / $2,761.00 / $3,911.60	Professional		$190.54	$2,761.00	$3,911.60
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,468.89 / $3,034.02 / $8,546.29	Professional		$2,468.89	$3,034.02	$8,546.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $98.53 / $6,689.20	Professional		$98.53	$98.53	$6,689.20