Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $5,128.00 / $20,680.40	Facility		$801.00	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $484.43 / $735.29 / $2,304.00	Professional		$484.43	$735.29	$2,304.00
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 $817.08 / $1,309.51 / $5,057.78	Professional		$817.08	$1,309.51	$5,057.78
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 $574.49 / $1,035.42 / $1,757.67	Professional		$574.49	$1,035.42	$1,757.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $586.38 / $1,200.72 / $3,280.24	Facility		$586.38	$1,200.72	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.82 / $1,170.15 / $2,824.57	Professional		$543.82	$1,170.15	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $360.98 / $1,132.61	Professional		$78.54	$360.98	$1,132.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $791.35 / $1,072.67 / $1,163.79	Facility		$791.35	$1,072.67	$1,163.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $767.84 / $793.81 / $2,961.46	Facility		$767.84	$793.81	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $884.25 / $1,262.80 / $1,575.63	Professional		$884.25	$1,262.80	$1,575.63
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 $783.09 / $1,129.88 / $1,514.48	Professional		$783.09	$1,129.88	$1,514.48
United Facility/Professional Facility Modifier Low / Median / High Price $565.74 / $1,681.00 / $6,857.00	Facility		$565.74	$1,681.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $687.44 / $1,009.98 / $1,661.63	Professional		$687.44	$1,009.98	$1,661.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $482.84 / $482.84 / $631.13	Professional		$482.84	$482.84	$631.13