Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,275.51 / $5,128.00 / $20,680.40	Facility		$1,275.51	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.67 / $881.59 / $1,930.10	Professional		$650.67	$881.59	$1,930.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $953.76 / $19,056.41 / $38,781.51	Facility		$953.76	$19,056.41	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $981.72 / $1,592.91 / $6,074.18	Professional		$981.72	$1,592.91	$6,074.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $870.49 / $870.49	Facility		$765.00	$870.49	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.17 / $1,243.66 / $2,107.65	Professional		$715.17	$1,243.66	$2,107.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $730.95 / $1,500.75 / $6,248.40	Facility		$730.95	$1,500.75	$6,248.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $698.88 / $1,432.70 / $5,065.67	Professional		$698.88	$1,432.70	$5,065.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $384.31 / $1,365.59	Professional		$78.68	$384.31	$1,365.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $963.83 / $1,312.53 / $1,398.29	Facility		$963.83	$1,312.53	$1,398.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.84 / $926.84 / $953.76	Facility		$926.84	$926.84	$953.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,064.08 / $1,517.25 / $1,893.12	Professional		$1,064.08	$1,517.25	$1,893.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,546.63 / $20,262.22 / $38,781.51	Facility		$12,546.63	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $945.25 / $1,357.55 / $1,822.48	Professional		$945.25	$1,357.55	$1,822.48
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 $851.28 / $1,156.14 / $1,999.54	Professional		$851.28	$1,156.14	$1,999.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $581.95 / $581.95 / $755.90	Professional		$581.95	$581.95	$755.90