Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.37 / $1,118.97 / $13,750.00	Facility		$574.37	$1,118.97	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.35 / $571.20 / $1,118.97	Professional		$377.35	$571.20	$1,118.97
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,613.81 / $4,554.63 / $11,500.00	Facility		$1,613.81	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $605.22 / $979.73 / $3,647.18	Professional		$605.22	$979.73	$3,647.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,985.59	Facility		$466.83	$568.48	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.44 / $798.09 / $1,373.59	Professional		$430.44	$798.09	$1,373.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $404.55 / $820.16 / $1,424.26	Facility		$404.55	$820.16	$1,424.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.33 / $796.49 / $1,316.10	Professional		$397.33	$796.49	$1,316.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $287.29 / $952.27	Professional		$39.53	$287.29	$952.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $589.15 / $814.72 / $913.88	Facility		$589.15	$814.72	$913.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.44 / $593.42 / $1,613.81	Facility		$537.44	$593.42	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.35 / $939.71 / $1,142.61	Professional		$623.35	$939.71	$1,142.61
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 $605.22 / $840.54 / $1,126.33	Professional		$605.22	$840.54	$1,126.33
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $515.50 / $720.93 / $1,276.79	Professional		$515.50	$720.93	$1,276.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $379.04 / $461.96 / $504.98	Professional		$379.04	$461.96	$504.98