Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.00 / $5,128.00 / $18,711.00	Facility		$379.00	$5,128.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.11 / $1,420.00 / $4,655.62	Professional		$171.11	$1,420.00	$4,655.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $961.64 / $10,153.40 / $20,663.07	Facility		$961.64	$10,153.40	$20,663.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $362.05 / $4,179.21 / $16,664.48	Professional		$362.05	$4,179.21	$16,664.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,450.63 / $3,450.63 / $5,748.71	Facility		$3,450.63	$3,450.63	$5,748.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.62 / $674.64 / $6,997.51	Professional		$325.62	$674.64	$6,997.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $324.67 / $3,225.00 / $7,553.76	Facility		$324.67	$3,225.00	$7,553.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.67 / $2,766.44 / $6,504.28	Professional		$324.67	$2,766.44	$6,504.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $579.35 / $3,626.60 / $5,996.03	Professional		$579.35	$3,626.60	$5,996.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $391.12 / $4,231.05 / $5,238.03	Facility		$391.12	$4,231.05	$5,238.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,796.63 / $3,108.06 / $3,317.77	Facility		$1,796.63	$3,108.06	$3,317.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.34 / $697.16 / $6,169.19	Professional		$360.34	$697.16	$6,169.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,156.89 / $10,795.86 / $20,663.07	Facility		$7,156.89	$10,795.86	$20,663.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $335.49 / $1,746.00 / $5,340.00	Professional		$335.49	$1,746.00	$5,340.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,126.78 / $5,066.93 / $7,393.55	Professional		$3,126.78	$5,066.93	$7,393.55