Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.93 / $2,769.52 / $18,711.00	Facility		$1,016.93	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.26 / $702.08 / $1,505.72	Professional		$509.26	$702.08	$1,505.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $761.36 / $8,231.65 / $16,103.56	Facility		$761.36	$8,231.65	$16,103.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $783.69 / $1,231.80 / $4,851.22	Professional		$783.69	$1,231.80	$4,851.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.12 / $991.54 / $1,684.58	Professional		$541.12	$991.54	$1,684.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $514.36 / $1,037.92 / $1,489.41	Facility		$514.36	$1,037.92	$1,489.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $514.36 / $1,008.16 / $1,374.47	Professional		$514.36	$1,008.16	$1,374.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.42 / $317.80 / $1,114.26	Professional		$77.42	$317.80	$1,114.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $748.23 / $1,023.12 / $1,116.22	Facility		$748.23	$1,023.12	$1,116.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $736.13 / $736.13 / $761.36	Facility		$736.13	$736.13	$761.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.09 / $1,211.18 / $1,511.23	Professional		$847.09	$1,211.18	$1,511.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,430.39 / $8,418.45 / $16,103.56	Facility		$6,430.39	$8,418.45	$16,103.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $750.75 / $1,083.70 / $1,442.76	Professional		$750.75	$1,083.70	$1,442.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,129.00 / $11,941.00	Facility		$2,155.00	$3,129.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.66 / $900.31 / $1,588.77	Professional		$641.66	$900.31	$1,588.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $464.35 / $464.35 / $605.54	Professional		$464.35	$464.35	$605.54