Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.30 / $1,329.50 / $11,522.02	Facility		$398.30	$1,329.50	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $308.72 / $644.58	Professional		$190.81	$308.72	$644.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.04 / $5,167.93 / $11,429.12	Facility		$1,013.04	$5,167.93	$11,429.12
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $55.33 / $99.91 / $527.46	Facility	AS	$55.33	$99.91	$527.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $309.60 / $656.40 / $2,527.92	Professional		$309.60	$656.40	$2,527.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $2,323.83	Facility		$564.00	$906.00	$2,323.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $474.77 / $906.61	Professional		$275.39	$474.77	$906.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $524.29 / $1,469.09	Facility		$312.00	$524.29	$1,469.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.24 / $529.07 / $1,192.95	Professional		$322.24	$529.07	$1,192.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $544.88 / $951.83	Professional		$96.78	$544.88	$951.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $399.36 / $655.93 / $1,435.73	Facility		$399.36	$655.93	$1,435.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.71 / $471.12 / $1,040.51	Facility		$470.71	$471.12	$1,040.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.60 / $533.54 / $862.83	Professional		$309.60	$533.54	$862.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,351.17 / $5,167.93 / $9,885.68	Facility		$3,351.17	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $297.99 / $480.48 / $797.22	Professional		$297.99	$480.48	$797.22
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 $415.99 / $522.08 / $999.29	Professional		$415.99	$522.08	$999.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.84 / $231.84 / $375.48	Professional		$231.84	$231.84	$375.48