Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.13 / $4,011.00 / $18,711.00	Facility		$239.13	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.26 / $166.06 / $376.06	Professional		$120.26	$166.06	$376.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $188.86 / $302.39 / $1,461.62	Professional		$188.86	$302.39	$1,461.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $235.18 / $394.58	Professional		$140.85	$235.18	$394.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $130.29 / $269.17 / $1,741.30	Facility		$130.29	$269.17	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $266.17 / $1,499.41	Professional		$125.86	$266.17	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $216.32 / $391.48	Professional		$39.61	$216.32	$391.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.32 / $251.92 / $263.31	Facility		$180.32	$251.92	$263.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.50 / $179.60 / $1,613.81	Facility		$173.50	$179.60	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.87 / $291.08 / $356.49	Professional		$199.87	$291.08	$356.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,024.21 / $4,552.03 / $8,712.50	Facility		$3,024.21	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $176.95 / $256.99 / $342.32	Professional		$176.95	$256.99	$342.32
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 $153.30 / $212.38 / $372.25	Professional		$153.30	$212.38	$372.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $126.44 / $126.44 / $160.88	Professional		$126.44	$126.44	$160.88