Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.24 / $10,122.46 / $22,024.00	Facility		$631.24	$10,122.46	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.50 / $501.74 / $680.47	Professional		$390.50	$501.74	$680.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $658.66 / $2,241.94 / $26,542.00	Facility		$658.66	$2,241.94	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $663.90 / $1,162.07 / $4,307.70	Professional		$663.90	$1,162.07	$4,307.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.88 / $850.63 / $1,486.60	Professional		$562.88	$850.63	$1,486.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $734.73 / $1,089.02	Facility		$480.00	$734.73	$1,089.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $765.92 / $1,143.04	Professional		$480.00	$765.92	$1,143.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $456.89	Professional		$75.00	$75.00	$456.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $280.18 / $417.45 / $454.95	Facility		$280.18	$417.45	$454.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $658.66 / $658.66 / $674.53	Facility		$658.66	$658.66	$674.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $679.04 / $1,117.00 / $1,338.88	Professional		$679.04	$1,117.00	$1,338.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,837.43 / $3,837.43 / $4,834.57	Facility		$3,837.43	$3,837.43	$4,834.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $663.90 / $907.00 / $1,272.02	Professional		$663.90	$907.00	$1,272.02
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 $452.96 / $619.84 / $1,518.00	Professional		$452.96	$619.84	$1,518.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $373.67 / $373.67 / $478.49	Professional		$373.67	$373.67	$478.49