Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $674.87 / $1,439.08 / $18,711.00	Facility		$674.87	$1,439.08	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.07 / $674.87 / $1,337.97	Professional		$407.07	$674.87	$1,337.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,848.62 / $16,586.25 / $31,745.76	Facility		$2,848.62	$16,586.25	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $677.70 / $1,089.16 / $4,044.32	Professional		$677.70	$1,089.16	$4,044.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $6,910.09	Facility		$714.97	$870.49	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.66 / $845.24 / $1,575.04	Professional		$457.66	$845.24	$1,575.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $453.60 / $825.75 / $5,185.60	Facility		$453.60	$825.75	$5,185.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $444.23 / $822.46 / $2,997.94	Professional		$444.23	$822.46	$2,997.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $598.12 / $1,289.61	Professional		$45.89	$598.12	$1,289.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $655.46 / $954.08 / $1,104.83	Facility		$655.46	$954.08	$1,104.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.22 / $753.59 / $5,317.93	Facility		$735.22	$753.59	$5,317.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.14 / $964.65 / $1,325.74	Professional		$673.14	$964.65	$1,325.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,595.73 / $31,745.76	Facility		$10,761.59	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $610.62 / $886.52 / $1,316.36	Professional		$610.62	$886.52	$1,316.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.08 / $783.20 / $1,584.39	Professional		$598.08	$783.20	$1,584.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $446.50 / $456.34 / $614.22	Professional		$446.50	$456.34	$614.22