Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.66 / $1,084.51 / $17,100.00	Facility		$562.66	$1,084.51	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.54 / $562.66 / $1,171.85	Professional		$377.54	$562.66	$1,171.85
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $637.98 / $4,554.63 / $11,500.00	Facility		$637.98	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $597.19 / $966.56 / $3,595.95	Professional		$597.19	$966.56	$3,595.95
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 $414.92 / $781.44 / $1,375.55	Professional		$414.92	$781.44	$1,375.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $395.84 / $777.98 / $1,422.51	Facility		$395.84	$777.98	$1,422.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $383.47 / $769.31 / $1,296.33	Professional		$383.47	$769.31	$1,296.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $280.44 / $923.74	Professional		$39.53	$280.44	$923.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $555.51 / $787.25 / $914.55	Facility		$555.51	$787.25	$914.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $577.58 / $1,613.81	Facility		$537.44	$577.58	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.80 / $925.25 / $1,143.46	Professional		$623.80	$925.25	$1,143.46
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 $589.04 / $838.79 / $1,109.93	Professional		$589.04	$838.79	$1,109.93
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.40 / $677.45 / $1,298.58	Professional		$491.40	$677.45	$1,298.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.87 / $456.58 / $507.48	Professional		$379.87	$456.58	$507.48