Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.66 / $2,223.10 / $18,711.00	Facility		$896.66	$2,223.10	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.69 / $896.66 / $2,274.15	Professional		$607.69	$896.66	$2,274.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,623.53 / $9,124.02 / $20,178.18	Facility		$3,623.53	$9,124.02	$20,178.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $884.75 / $1,370.34 / $4,812.16	Professional		$884.75	$1,370.34	$4,812.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,302.92	Facility		$883.20	$1,075.31	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.16 / $1,201.29 / $1,892.35	Professional		$691.16	$1,201.29	$1,892.35
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $722.30 / $1,351.40 / $2,494.19	Facility		$722.30	$1,351.40	$2,494.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.30 / $1,328.65 / $2,089.31	Professional		$722.30	$1,328.65	$2,089.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $371.42 / $1,284.53	Professional		$78.68	$371.42	$1,284.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $983.70 / $1,284.26 / $1,591.20	Facility		$983.70	$1,284.26	$1,591.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.50 / $872.03 / $2,412.73	Facility		$803.50	$872.03	$2,412.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.75 / $1,284.74 / $1,621.79	Professional		$884.75	$1,284.74	$1,621.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,812.14 / $9,118.81 / $17,453.22	Facility		$6,812.14	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $790.52 / $1,182.68 / $1,602.73	Professional		$790.52	$1,182.68	$1,602.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,408.00 / $11,261.00 / $18,553.00	Facility		$2,408.00	$11,261.00	$18,553.00
United Facility/Professional Professional Modifier Low / Median / High Price $785.97 / $1,092.69 / $1,897.83	Professional		$785.97	$1,092.69	$1,897.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $539.99 / $612.42 / $730.42	Professional		$539.99	$612.42	$730.42