Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.14 / $1,139.01 / $11,522.02	Facility		$474.14	$1,139.01	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.12 / $362.86 / $769.57	Professional		$232.12	$362.86	$769.57
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $537.42 / $1,804.02 / $3,936.16	Facility		$537.42	$1,804.02	$3,936.16
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $66.38 / $118.23 / $176.50	Facility	AS	$66.38	$118.23	$176.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $368.16 / $752.50 / $2,910.40	Professional		$368.16	$752.50	$2,910.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.44 / $777.59 / $906.00	Facility		$511.44	$777.59	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.38 / $548.92 / $1,036.68	Professional		$326.38	$548.92	$1,036.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $585.10 / $942.52	Facility		$375.00	$585.10	$942.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.14 / $606.85 / $942.52	Professional		$382.14	$606.85	$942.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $649.21 / $1,126.41	Professional		$114.79	$649.21	$1,126.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $447.04 / $700.20 / $787.92	Facility		$447.04	$700.20	$787.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $236.51 / $534.99 / $537.42	Facility		$236.51	$534.99	$537.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.16 / $611.63 / $985.14	Professional		$368.16	$611.63	$985.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.35 / $545.62 / $910.22	Professional		$354.35	$545.62	$910.22
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 $481.28 / $635.51 / $1,139.29	Professional		$481.28	$635.51	$1,139.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $274.50 / $274.50 / $429.99	Professional		$274.50	$274.50	$429.99