Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $941.07 / $4,497.00 / $20,680.40	Facility		$941.07	$4,497.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.28 / $941.07 / $1,961.12	Professional		$691.28	$941.07	$1,961.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,000.00 / $3,415.18	Facility		$55.00	$2,000.00	$3,415.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,055.10 / $1,702.89 / $6,530.40	Professional		$1,055.10	$1,702.89	$6,530.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.04 / $1,330.47 / $2,240.02	Professional		$769.04	$1,330.47	$2,240.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $1,341.91 / $1,804.04	Facility		$765.00	$1,341.91	$1,804.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.64 / $1,341.91 / $1,818.38	Professional		$723.64	$1,341.91	$1,818.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $1,135.35 / $1,989.87	Professional		$200.42	$1,135.35	$1,989.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $986.92 / $1,441.43 / $1,502.81	Facility		$986.92	$1,441.43	$1,502.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,009.74 / $1,009.74 / $1,025.05	Facility		$1,009.74	$1,009.74	$1,025.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,149.66 / $1,649.46 / $2,034.63	Professional		$1,149.66	$1,649.46	$2,034.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,029.80 / $1,459.03 / $1,961.76	Professional		$1,029.80	$1,459.03	$1,961.76
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 $873.57 / $1,211.85 / $2,126.11	Professional		$873.57	$1,211.85	$2,126.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $622.80 / $622.80 / $784.22	Professional		$622.80	$622.80	$784.22