Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $563.29 / $1,159.22 / $14,852.78	Facility		$563.29	$1,159.22	$14,852.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.81 / $444.10 / $1,054.21	Professional		$277.81	$444.10	$1,054.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,141.64 / $9,118.81 / $17,453.22	Facility		$2,141.64	$9,118.81	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $502.49 / $826.39 / $3,108.48	Professional		$502.49	$826.39	$3,108.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,302.92	Facility		$625.25	$761.81	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.08 / $653.10 / $1,215.07	Professional		$352.08	$653.10	$1,215.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $356.50 / $661.25 / $2,478.65	Facility		$356.50	$661.25	$2,478.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.07 / $643.11 / $1,432.97	Professional		$356.07	$643.11	$1,432.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $258.20 / $839.73	Professional		$39.46	$258.20	$839.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $470.34 / $769.42 / $845.54	Facility		$470.34	$769.42	$845.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.05 / $576.73 / $2,412.73	Facility		$568.05	$576.73	$2,412.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $502.64 / $748.62 / $1,051.88	Professional		$502.64	$748.62	$1,051.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $479.22 / $685.62 / $1,021.92	Professional		$479.22	$685.62	$1,021.92
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $483.08 / $678.60 / $1,198.91	Professional		$483.08	$678.60	$1,198.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.66 / $346.74 / $470.07	Professional		$338.66	$346.74	$470.07