Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.87 / $781.17 / $17,100.00	Facility		$355.87	$781.17	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $272.93 / $559.41	Professional		$179.87	$272.93	$559.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $898.56 / $9,941.33 / $19,448.18	Facility		$898.56	$9,941.33	$19,448.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $278.52 / $545.49 / $3,837.16	Professional		$278.52	$545.49	$3,837.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $4,636.17	Facility		$644.92	$1,110.00	$4,636.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.57 / $411.42 / $813.48	Professional		$245.57	$411.42	$813.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $276.50 / $463.32 / $2,930.92	Facility		$276.50	$463.32	$2,930.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.12 / $467.61 / $2,379.98	Professional		$285.12	$467.61	$2,379.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $491.21 / $860.63	Professional		$88.12	$491.21	$860.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $332.88 / $557.53 / $620.41	Facility		$332.88	$557.53	$620.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.18 / $428.99 / $1,961.22	Facility		$423.18	$428.99	$1,961.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.52 / $483.43 / $783.00	Professional		$278.52	$483.43	$783.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,832.97 / $10,161.12 / $19,448.18	Facility		$6,832.97	$10,161.12	$19,448.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $268.88 / $437.51 / $716.72	Professional		$268.88	$437.51	$716.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,403.00 / $2,428.00 / $11,941.00	Facility		$1,403.00	$2,428.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $383.99 / $505.18 / $885.40	Professional		$383.99	$505.18	$885.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.97 / $200.97 / $332.38	Professional		$200.97	$200.97	$332.38