Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.45 / $2,348.64 / $20,543.00	Facility		$584.45	$2,348.64	$20,543.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.95 / $813.47 / $1,928.88	Professional		$287.95	$813.47	$1,928.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,576.52 / $18,480.04 / $35,350.23	Facility		$1,576.52	$18,480.04	$35,350.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $572.66 / $1,657.30 / $10,008.04	Professional		$572.66	$1,657.30	$10,008.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,128.51 / $6,128.51 / $10,210.03	Facility		$6,128.51	$6,128.51	$10,210.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.29 / $1,054.95 / $2,664.01	Professional		$493.29	$1,054.95	$2,664.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $494.86 / $1,560.33 / $6,879.04	Facility		$494.86	$1,560.33	$6,879.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.83 / $1,215.05 / $3,019.96	Professional		$488.83	$1,215.05	$3,019.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $216.80 / $1,381.14 / $2,261.22	Professional		$216.80	$1,381.14	$2,261.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $612.95 / $1,692.16 / $2,068.28	Facility		$612.95	$1,692.16	$2,068.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,190.49 / $1,199.54 / $2,373.40	Facility		$1,190.49	$1,199.54	$2,373.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.09 / $1,050.75 / $2,308.39	Professional		$543.09	$1,050.75	$2,308.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,277.70 / $18,469.48 / $35,350.23	Facility		$13,277.70	$18,469.48	$35,350.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $507.27 / $1,039.86 / $2,022.78	Professional		$507.27	$1,039.86	$2,022.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $4,686.00 / $20,708.00	Facility		$3,028.00	$4,686.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,252.68 / $1,942.19 / $2,775.82	Professional		$1,252.68	$1,942.19	$2,775.82