Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.57 / $1,203.25 / $17,100.00	Facility		$474.57	$1,203.25	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.64 / $579.01 / $1,207.10	Professional		$260.64	$579.01	$1,207.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,218.44 / $9,172.83 / $17,546.59	Facility		$1,218.44	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $450.78 / $754.25 / $2,917.36	Professional		$450.78	$754.25	$2,917.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,740.43	Facility		$625.25	$761.81	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.57 / $618.66 / $1,103.51	Professional		$344.57	$618.66	$1,103.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $351.82 / $648.60 / $2,806.97	Facility		$351.82	$648.60	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $351.82 / $644.66 / $1,622.78	Professional		$351.82	$644.66	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $251.71 / $754.90	Professional		$39.46	$251.71	$754.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.16 / $763.23 / $860.95	Facility		$537.16	$763.23	$860.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.86 / $534.23 / $2,961.46	Facility		$521.86	$534.23	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.37 / $649.22 / $979.27	Professional		$438.37	$649.22	$979.27
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 $408.18 / $629.14 / $959.16	Professional		$408.18	$629.14	$959.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,408.00 / $10,522.00	Facility		$1,547.00	$2,408.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.28 / $706.75 / $1,223.68	Professional		$501.28	$706.75	$1,223.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $280.61 / $320.24 / $430.96	Professional		$280.61	$320.24	$430.96