Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.07 / $1,021.70 / $17,100.00	Facility		$433.07	$1,021.70	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.34 / $498.91 / $1,048.42	Professional		$239.34	$498.91	$1,048.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,115.08 / $9,172.83 / $17,546.59	Facility		$1,115.08	$9,172.83	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $403.09 / $705.72 / $2,741.12	Professional		$403.09	$705.72	$2,741.12
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 $304.48 / $572.29 / $1,034.31	Professional		$304.48	$572.29	$1,034.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $293.58 / $571.92 / $2,806.97	Facility		$293.58	$571.92	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.58 / $563.41 / $1,622.78	Professional		$293.58	$563.41	$1,622.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $190.53 / $734.78	Professional		$38.47	$190.53	$734.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $441.80 / $719.58 / $744.37	Facility		$441.80	$719.58	$744.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $490.60 / $502.24 / $2,961.46	Facility		$490.60	$502.24	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.81 / $589.80 / $906.01	Professional		$388.81	$589.80	$906.01
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 $373.50 / $562.22 / $901.73	Professional		$373.50	$562.22	$901.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,408.00 / $11,261.00 / $18,561.84	Facility		$2,408.00	$11,261.00	$18,561.84
United Facility/Professional Professional Modifier Low / Median / High Price $451.92 / $598.76 / $1,063.34	Professional		$451.92	$598.76	$1,063.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $259.18 / $302.02 / $407.96	Professional		$259.18	$302.02	$407.96