Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $532.86 / $1,050.93 / $14,530.60	Facility		$532.86	$1,050.93	$14,530.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.37 / $369.76 / $736.61	Professional		$249.37	$369.76	$736.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,241.82 / $7,873.79 / $15,720.23	Facility		$1,241.82	$7,873.79	$15,720.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $412.32 / $802.32 / $3,004.08	Professional		$412.32	$802.32	$3,004.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $2,846.84	Facility		$564.00	$906.00	$2,846.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.92 / $591.05 / $1,074.17	Professional		$367.92	$591.05	$1,074.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $390.91 / $641.27 / $1,918.07	Facility		$390.91	$641.27	$1,918.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.50 / $658.94 / $1,461.44	Professional		$405.50	$658.94	$1,461.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $430.56 / $942.40	Professional		$45.48	$430.56	$942.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $535.29 / $793.25 / $1,969.32	Facility		$535.29	$793.25	$1,969.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.13 / $558.00 / $1,241.82	Facility		$548.13	$558.00	$1,241.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.32 / $687.00 / $1,022.83	Professional		$412.32	$687.00	$1,022.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,221.67 / $8,047.87 / $15,403.47	Facility		$5,221.67	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $396.86 / $580.79 / $945.05	Professional		$396.86	$580.79	$945.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $496.00 / $659.83 / $1,176.93	Professional		$496.00	$659.83	$1,176.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.76 / $309.76 / $446.31	Professional		$309.76	$309.76	$446.31