Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $963.18 / $14,464.32	Facility		$438.60	$963.18	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.60 / $302.19 / $660.37	Professional		$205.60	$302.19	$660.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $737.69 / $4,492.60 / $10,161.06	Facility		$737.69	$4,492.60	$10,161.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $334.08 / $667.77 / $2,506.80	Professional		$334.08	$667.77	$2,506.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $1,677.65	Facility		$564.00	$906.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.33 / $481.83 / $896.02	Professional		$302.33	$481.83	$896.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $326.74 / $528.04 / $1,130.32	Facility		$326.74	$528.04	$1,130.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.50 / $541.62 / $1,067.81	Professional		$332.50	$541.62	$1,067.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $284.81 / $782.58	Professional		$35.67	$284.81	$782.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $456.84 / $660.22 / $1,169.85	Facility		$456.84	$660.22	$1,169.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $453.45 / $463.86 / $737.69	Facility		$453.45	$463.86	$737.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $334.17 / $560.07 / $850.27	Professional		$334.17	$560.07	$850.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,264.85 / $4,591.92 / $8,788.86	Facility		$3,264.85	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $321.55 / $473.63 / $785.61	Professional		$321.55	$473.63	$785.61
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $405.29 / $516.37 / $960.45	Professional		$405.29	$516.37	$960.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.38 / $255.38 / $372.58	Professional		$255.38	$255.38	$372.58