Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.92 / $5,128.00 / $22,024.00	Facility		$264.92	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.46 / $264.92 / $300.45	Professional		$232.46	$264.92	$300.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $23,890.63 / $37,297.19 / $71,345.31	Facility		$23,890.63	$37,297.19	$71,345.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $349.27 / $582.04 / $2,205.90	Professional		$349.27	$582.04	$2,205.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $27,985.18	Facility		$714.97	$870.49	$27,985.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $12,593.29 / $44,948.87 / $112,680.05	Facility		$12,593.29	$44,948.87	$112,680.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $773.47 / $773.47 / $773.47	Professional		$773.47	$773.47	$773.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $414.89 / $9,922.71 / $17,769.88	Facility		$414.89	$9,922.71	$17,769.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $342.47 / $345.49 / $13,091.98	Facility		$342.47	$345.49	$13,091.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.62 / $549.61 / $685.77	Professional		$377.62	$549.61	$685.77
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $28,449.56 / $37,297.19 / $71,345.31	Facility		$28,449.56	$37,297.19	$71,345.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $349.27 / $484.07 / $665.96	Professional		$349.27	$484.07	$665.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.66 / $433.95 / $748.45	Professional		$309.66	$433.95	$748.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.80 / $246.80 / $246.80	Professional		$246.80	$246.80	$246.80