Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.21 / $1,633.95 / $17,930.00	Facility		$806.21	$1,633.95	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.23 / $725.39 / $1,682.19	Professional		$441.23	$725.39	$1,682.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,070.08 / $9,167.59 / $17,907.41	Facility		$2,070.08	$9,167.59	$17,907.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $726.15 / $1,196.16 / $4,504.56	Professional		$726.15	$1,196.16	$4,504.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $3,740.43	Facility		$714.97	$870.49	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.78 / $948.58 / $1,733.33	Professional		$523.78	$948.58	$1,733.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $525.40 / $985.40 / $2,806.97	Facility		$525.40	$985.40	$2,806.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.40 / $964.46 / $1,935.00	Professional		$525.40	$964.46	$1,935.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $312.63 / $1,200.29	Professional		$76.84	$312.63	$1,200.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $714.05 / $1,161.10 / $1,216.05	Facility		$714.05	$1,161.10	$1,216.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.51 / $829.46 / $2,961.46	Facility		$809.51	$829.46	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.80 / $1,069.88 / $1,496.97	Professional		$719.80	$1,069.88	$1,496.97
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 $695.90 / $1,003.30 / $1,489.21	Professional		$695.90	$1,003.30	$1,489.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $2,769.18 / $10,522.00	Facility		$1,547.00	$2,769.18	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.07 / $931.21 / $1,706.19	Professional		$615.07	$931.21	$1,706.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $482.40 / $498.03 / $669.84	Professional		$482.40	$498.03	$669.84