Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.33 / $1,583.14 / $18,711.00	Facility		$928.33	$1,583.14	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $852.28 / $1,678.42	Professional		$485.85	$852.28	$1,678.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,042.86 / $8,493.93 / $17,453.22	Facility		$1,042.86	$8,493.93	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $921.14 / $1,495.77 / $5,632.56	Professional		$921.14	$1,495.77	$5,632.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $1,427.38	Facility		$714.97	$870.49	$1,427.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.14 / $1,155.01 / $2,170.57	Professional		$562.14	$1,155.01	$2,170.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $550.67 / $980.20 / $1,650.82	Facility		$550.67	$980.20	$1,650.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.27 / $965.30 / $1,531.49	Professional		$536.27	$965.30	$1,531.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.37 / $449.94 / $1,496.08	Professional		$77.37	$449.94	$1,496.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $775.09 / $1,201.31 / $1,528.94	Facility		$775.09	$1,201.31	$1,528.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $425.02 / $940.88 / $1,276.22	Facility		$425.02	$940.88	$1,276.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.80 / $1,362.13 / $1,766.77	Professional		$920.80	$1,362.13	$1,766.77
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 $815.63 / $1,257.09 / $1,733.18	Professional		$815.63	$1,257.09	$1,733.18
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 $693.24 / $1,022.01 / $1,967.44	Professional		$693.24	$1,022.01	$1,967.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $619.22 / $685.18 / $861.18	Professional		$619.22	$685.18	$861.18