Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.21 / $1,661.08 / $17,100.00	Facility		$882.21	$1,661.08	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.23 / $887.96 / $1,890.04	Professional		$489.23	$887.96	$1,890.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,237.54 / $16,227.47 / $31,745.76	Facility		$3,237.54	$16,227.47	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $787.64 / $1,390.80 / $5,506.44	Professional		$787.64	$1,390.80	$5,506.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $8,848.90	Facility		$625.25	$761.81	$8,848.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.90 / $1,054.86 / $2,186.15	Professional		$479.90	$1,054.86	$2,186.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.54 / $889.35 / $5,594.13	Facility		$436.54	$889.35	$5,594.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.54 / $889.35 / $3,839.09	Professional		$436.54	$889.35	$3,839.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $446.51 / $1,445.16	Professional		$77.29	$446.51	$1,445.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $649.23 / $1,179.46 / $1,471.32	Facility		$649.23	$1,179.46	$1,471.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,003.57 / $1,032.39 / $7,001.95	Facility		$1,003.57	$1,032.39	$7,001.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $797.48 / $1,195.52 / $1,872.87	Professional		$797.48	$1,195.52	$1,872.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $706.72 / $1,127.36 / $1,811.26	Professional		$706.72	$1,127.36	$1,811.26
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 $764.55 / $1,106.58 / $2,169.48	Professional		$764.55	$1,106.58	$2,169.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $517.74 / $592.16 / $829.89	Professional		$517.74	$592.16	$829.89