Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.13 / $1,270.30 / $17,100.00	Facility		$531.13	$1,270.30	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.74 / $468.04 / $1,109.90	Professional		$290.74	$468.04	$1,109.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $868.55 / $4,554.63 / $10,072.78	Facility		$868.55	$4,554.63	$10,072.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $478.18 / $832.54 / $3,226.16	Professional		$478.18	$832.54	$3,226.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.41 / $765.00 / $870.49	Facility		$624.41	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.17 / $641.12 / $1,227.24	Professional		$361.17	$641.12	$1,227.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $342.76 / $609.21 / $1,107.26	Facility		$342.76	$609.21	$1,107.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.76 / $609.21 / $1,045.13	Professional		$342.76	$609.21	$1,045.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.82 / $180.60 / $798.82	Professional		$31.82	$180.60	$798.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $534.41 / $837.50 / $868.99	Facility		$534.41	$837.50	$868.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.97 / $578.92 / $603.46	Facility		$200.97	$578.92	$603.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.81 / $708.48 / $1,075.22	Professional		$472.81	$708.48	$1,075.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,434.81 / $4,554.63 / $8,712.50	Facility		$3,434.81	$4,554.63	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $428.40 / $680.13 / $1,033.85	Professional		$428.40	$680.13	$1,033.85
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 $501.37 / $700.90 / $1,245.48	Professional		$501.37	$700.90	$1,245.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $314.44 / $357.23 / $480.58	Professional		$314.44	$357.23	$480.58