Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.41 / $2,053.75 / $14,375.41	Facility		$621.41	$2,053.75	$14,375.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.93 / $487.04 / $1,265.54	Professional		$309.93	$487.04	$1,265.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $636.47 / $8,597.96 / $17,546.59	Facility		$636.47	$8,597.96	$17,546.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $559.63 / $927.36 / $3,572.40	Professional		$559.63	$927.36	$3,572.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $677.28 / $765.00 / $870.49	Facility		$677.28	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.49 / $738.18 / $1,368.07	Professional		$409.49	$738.18	$1,368.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $400.14 / $689.54 / $1,218.08	Facility		$400.14	$689.54	$1,218.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.14 / $689.54 / $1,146.91	Professional		$400.14	$689.54	$1,146.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $277.10 / $924.58	Professional		$69.56	$277.10	$924.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $576.61 / $887.62 / $960.78	Facility		$576.61	$887.62	$960.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.02 / $636.47 / $655.34	Facility		$216.02	$636.47	$655.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $554.54 / $824.12 / $1,177.74	Professional		$554.54	$824.12	$1,177.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,646.13 / $9,167.59 / $17,546.59	Facility		$5,646.13	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $501.38 / $770.13 / $1,133.08	Professional		$501.38	$770.13	$1,133.08
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 $560.55 / $793.84 / $1,364.26	Professional		$560.55	$793.84	$1,364.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $370.56 / $395.33 / $530.78	Professional		$370.56	$395.33	$530.78