Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $918.74 / $2,769.52 / $18,711.00	Facility		$918.74	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.17 / $641.08 / $1,340.02	Professional		$463.17	$641.08	$1,340.02
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 $715.95 / $1,154.08 / $4,433.10	Professional		$715.95	$1,154.08	$4,433.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.90 / $905.03 / $1,545.21	Professional		$486.90	$905.03	$1,545.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $485.89 / $997.37 / $1,741.30	Facility		$485.89	$997.37	$1,741.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.59 / $985.08 / $1,575.30	Professional		$461.59	$985.08	$1,575.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $301.83 / $1,032.04	Professional		$76.14	$301.83	$1,032.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $667.87 / $912.54 / $1,019.74	Facility		$667.87	$912.54	$1,019.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $667.72 / $1,613.81	Facility		$537.44	$667.72	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $770.04 / $1,106.49 / $1,380.61	Professional		$770.04	$1,106.49	$1,380.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $680.99 / $990.03 / $1,318.05	Professional		$680.99	$990.03	$1,318.05
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 $570.42 / $797.99 / $1,424.05	Professional		$570.42	$797.99	$1,424.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $423.49 / $423.49 / $558.84	Professional		$423.49	$423.49	$558.84