Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.86 / $5,116.62 / $18,711.00	Facility		$777.86	$5,116.62	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.83 / $542.64 / $1,124.44	Professional		$369.83	$542.64	$1,124.44
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 $612.46 / $969.04 / $3,795.68	Professional		$612.46	$969.04	$3,795.68
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 $433.68 / $758.44 / $1,317.76	Professional		$433.68	$758.44	$1,317.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $441.24 / $884.83 / $1,741.30	Facility		$441.24	$884.83	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.25 / $861.44 / $1,499.41	Professional		$419.25	$861.44	$1,499.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.39 / $406.06 / $893.32	Professional		$75.39	$406.06	$893.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.21 / $789.93 / $872.34	Facility		$584.21	$789.93	$872.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $568.52 / $1,613.81	Facility		$537.44	$568.52	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $647.39 / $942.86 / $1,181.04	Professional		$647.39	$942.86	$1,181.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,552.03 / $8,712.50	Facility		$3,434.81	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $579.80 / $835.36 / $1,127.53	Professional		$579.80	$835.36	$1,127.53
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 $514.71 / $681.90 / $1,202.38	Professional		$514.71	$681.90	$1,202.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $356.13 / $465.85	Professional		$356.13	$356.13	$465.85