Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.76 / $1,185.66 / $18,711.00	Facility		$685.76	$1,185.66	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.83 / $537.49 / $1,288.56	Professional		$324.83	$537.49	$1,288.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $406.45 / $7,547.82 / $15,403.47	Facility		$406.45	$7,547.82	$15,403.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $524.03 / $1,002.84 / $3,633.20	Professional		$524.03	$1,002.84	$3,633.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $745.48	Facility		$421.10	$731.00	$745.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $804.98 / $1,300.59	Professional		$491.88	$804.98	$1,300.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $528.00 / $866.99 / $1,325.49	Facility		$528.00	$866.99	$1,325.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $528.50 / $881.90 / $1,281.68	Professional		$528.50	$881.90	$1,281.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $267.18 / $965.00	Professional		$38.47	$267.18	$965.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $617.07 / $960.94 / $1,195.44	Facility		$617.07	$960.94	$1,195.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.68 / $648.24 / $669.05	Facility		$378.68	$648.24	$669.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.94 / $871.04 / $1,238.66	Professional		$534.94	$871.04	$1,238.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,899.91 / $8,047.87 / $15,403.47	Facility		$4,899.91	$8,047.87	$15,403.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $495.73 / $732.35 / $1,179.01	Professional		$495.73	$732.35	$1,179.01
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $887.00 / $4,611.00	Facility		$350.00	$887.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.06 / $844.48 / $1,461.77	Professional		$660.06	$844.48	$1,461.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $412.84 / $412.84 / $547.01	Professional		$412.84	$412.84	$547.01