Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.04 / $5,116.62 / $20,680.40	Facility		$950.04	$5,116.62	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.95 / $674.59 / $1,409.08	Professional		$432.95	$674.59	$1,409.08
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,961.46 / $9,172.83 / $20,286.13	Facility		$2,961.46	$9,172.83	$20,286.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $769.10 / $1,225.32 / $4,906.80	Professional		$769.10	$1,225.32	$4,906.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.86 / $932.93 / $1,634.58	Professional		$532.86	$932.93	$1,634.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $501.58 / $1,088.22 / $3,280.24	Facility		$501.58	$1,088.22	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.58 / $1,046.94 / $2,824.57	Professional		$501.58	$1,046.94	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $346.90 / $1,091.40	Professional		$77.77	$346.90	$1,091.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $687.75 / $965.05 / $1,095.45	Facility		$687.75	$965.05	$1,095.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $715.74 / $747.20 / $2,961.46	Facility		$715.74	$747.20	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.60 / $1,188.65 / $1,483.11	Professional		$828.60	$1,188.65	$1,483.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,948.17 / $9,167.59 / $17,546.59	Facility		$5,948.17	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $729.96 / $1,063.53 / $1,419.44	Professional		$729.96	$1,063.53	$1,419.44
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 $584.99 / $883.55 / $1,557.35	Professional		$584.99	$883.55	$1,557.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $455.51 / $455.51 / $589.55	Professional		$455.51	$455.51	$589.55