Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $916.87 / $2,031.30 / $13,809.00	Facility		$916.87	$2,031.30	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $646.99 / $916.88 / $1,935.74	Professional		$646.99	$916.88	$1,935.74
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,194.14 / $5,167.93 / $11,429.12	Facility		$1,194.14	$5,167.93	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $996.31 / $1,850.27 / $6,396.72	Professional		$996.31	$1,850.27	$6,396.72
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 $850.38 / $1,335.17 / $2,409.80	Professional		$850.38	$1,335.17	$2,409.80
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $924.52 / $1,438.08 / $2,193.75	Facility		$924.52	$1,438.08	$2,193.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $985.00 / $1,481.90 / $2,233.78	Professional		$985.00	$1,481.90	$2,233.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.04 / $465.34 / $1,731.04	Professional		$75.04	$465.34	$1,731.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,172.49 / $1,594.99 / $1,750.71	Facility		$1,172.49	$1,594.99	$1,750.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $1,173.72 / $1,194.14	Facility		$759.83	$1,173.72	$1,194.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.20 / $1,667.09 / $2,188.91	Professional		$1,015.20	$1,667.09	$2,188.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,770.96 / $5,167.93 / $9,885.68	Facility		$3,770.96	$5,167.93	$9,885.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $977.13 / $1,399.18 / $2,124.05	Professional		$977.13	$1,399.18	$2,124.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $6,201.04 / $10,259.98	Facility		$1,050.00	$6,201.04	$10,259.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,068.13 / $1,317.81 / $2,476.65	Professional		$1,068.13	$1,317.81	$2,476.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $776.08 / $776.08 / $952.87	Professional		$776.08	$776.08	$952.87