Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.42 / $7,920.26 / $22,024.00	Facility		$496.42	$7,920.26	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.39 / $375.30 / $789.27	Professional		$263.39	$375.30	$789.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $372.46 / $3,159.71 / $26,542.00	Facility		$372.46	$3,159.71	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $383.38 / $595.03 / $3,477.23	Professional		$383.38	$595.03	$3,477.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.16 / $1,075.00 / $1,223.70	Facility		$1,005.16	$1,075.00	$1,223.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.60 / $490.80 / $813.84	Professional		$294.60	$490.80	$813.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $265.64 / $531.41 / $686.00	Facility		$265.64	$531.41	$686.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.64 / $531.41 / $689.38	Professional		$265.64	$531.41	$689.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $446.28 / $782.35	Professional		$78.81	$446.28	$782.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $393.96 / $523.85 / $546.04	Facility		$393.96	$523.85	$546.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $367.38 / $367.38 / $372.46	Facility		$367.38	$367.38	$372.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.23 / $600.14 / $739.29	Professional		$418.23	$600.14	$739.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,329.10 / $5,329.10 / $6,713.85	Facility		$5,329.10	$5,329.10	$6,713.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $374.68 / $530.14 / $713.53	Professional		$374.68	$530.14	$713.53
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 $337.26 / $453.71 / $785.91	Professional		$337.26	$453.71	$785.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.37 / $226.37 / $285.00	Professional		$226.37	$226.37	$285.00