Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.67 / $5,128.00 / $20,680.40	Facility		$884.67	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.45 / $615.34 / $1,290.33	Professional		$403.45	$615.34	$1,290.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,016.89 / $1,858.46 / $11,500.00	Facility		$1,016.89	$1,858.46	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $684.43 / $1,091.89 / $4,237.95	Professional		$684.43	$1,091.89	$4,237.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $777.59 / $870.49	Facility		$714.97	$777.59	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.74 / $865.87 / $1,476.68	Professional		$492.74	$865.87	$1,476.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $434.82 / $730.30 / $1,227.94	Facility		$434.82	$730.30	$1,227.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.82 / $741.52 / $1,179.86	Professional		$434.82	$741.52	$1,179.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $202.62 / $973.75	Professional		$55.67	$202.62	$973.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $606.13 / $869.66 / $974.85	Facility		$606.13	$869.66	$974.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $196.48 / $638.28 / $664.94	Facility		$196.48	$638.28	$664.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.16 / $1,057.79 / $1,319.83	Professional		$737.16	$1,057.79	$1,319.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,359.50 / $1,813.75 / $3,474.61	Facility		$1,359.50	$1,813.75	$3,474.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $650.96 / $946.45 / $1,260.03	Professional		$650.96	$946.45	$1,260.03
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.92 / $756.00 / $1,385.49	Professional		$535.92	$756.00	$1,385.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $405.54 / $405.54 / $534.39	Professional		$405.54	$405.54	$534.39