Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.55 / $1,748.40 / $17,100.00	Facility		$917.55	$1,748.40	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.83 / $876.74 / $1,743.95	Professional		$535.83	$876.74	$1,743.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,040.51 / $5,167.93 / $11,429.12	Facility		$1,040.51	$5,167.93	$11,429.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $891.46 / $1,611.59 / $5,661.68	Professional		$891.46	$1,611.59	$5,661.68
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 $733.49 / $1,120.48 / $1,977.86	Professional		$733.49	$1,120.48	$1,977.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $826.32 / $1,251.21 / $1,903.69	Facility		$826.32	$1,251.21	$1,903.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $846.31 / $1,330.87 / $1,944.68	Professional		$846.31	$1,330.87	$1,944.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $377.48 / $1,410.33	Professional		$71.55	$377.48	$1,410.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $928.74 / $1,279.68 / $1,422.41	Facility		$928.74	$1,279.68	$1,422.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.83 / $970.21 / $1,040.51	Facility		$759.83	$970.21	$1,040.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $904.75 / $1,481.89 / $1,834.24	Professional		$904.75	$1,481.89	$1,834.24
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 $872.11 / $1,238.48 / $1,738.76	Professional		$872.11	$1,238.48	$1,738.76
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,612.00 / $6,857.00	Facility		$629.00	$1,612.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $854.00 / $1,106.34 / $2,012.10	Professional		$854.00	$1,106.34	$2,012.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $682.26 / $682.26 / $756.84	Professional		$682.26	$682.26	$756.84