Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $980.39 / $1,952.64 / $17,100.00	Facility		$980.39	$1,952.64	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $599.29 / $980.39 / $2,022.97	Professional		$599.29	$980.39	$2,022.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,451.09 / $4,321.81 / $11,500.00	Facility		$1,451.09	$4,321.81	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $967.97 / $1,502.02 / $5,257.76	Professional		$967.97	$1,502.02	$5,257.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,557.08	Facility		$625.25	$761.81	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.64 / $1,198.54 / $2,107.13	Professional		$661.64	$1,198.54	$2,107.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $660.92 / $1,193.21 / $1,858.20	Facility		$660.92	$1,193.21	$1,858.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.92 / $1,172.59 / $1,833.71	Professional		$660.92	$1,172.59	$1,833.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $380.68 / $1,406.92	Professional		$76.37	$380.68	$1,406.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $854.51 / $1,313.20 / $1,442.96	Facility		$854.51	$1,313.20	$1,442.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.20 / $969.42 / $1,144.67	Facility		$381.20	$969.42	$1,144.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $970.21 / $1,387.21 / $1,778.44	Professional		$970.21	$1,387.21	$1,778.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,319.34 / $8,267.12	Facility		$2,802.50	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $852.89 / $1,286.54 / $1,754.47	Professional		$852.89	$1,286.54	$1,754.47
United Facility/Professional Facility Modifier Low / Median / High Price $688.33 / $1,681.00 / $6,857.00	Facility		$688.33	$1,681.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $767.51 / $1,059.97 / $1,968.83	Professional		$767.51	$1,059.97	$1,968.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $587.47 / $667.13 / $807.62	Professional		$587.47	$667.13	$807.62