Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.09 / $1,033.32 / $17,100.00	Facility		$516.09	$1,033.32	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.51 / $495.05 / $1,033.32	Professional		$330.51	$495.05	$1,033.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $507.80 / $733.95 / $11,500.00	Facility		$507.80	$733.95	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $583.79 / $968.80 / $3,656.55	Professional		$583.79	$968.80	$3,656.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $305.39 / $670.00 / $761.81	Facility		$305.39	$670.00	$761.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.99 / $762.03 / $1,344.99	Professional		$392.99	$762.03	$1,344.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $267.82 / $625.91 / $990.84	Facility		$267.82	$625.91	$990.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.97 / $618.66 / $1,022.50	Professional		$312.97	$618.66	$1,022.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $287.29 / $952.27	Professional		$39.53	$287.29	$952.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $544.58 / $753.08 / $938.00	Facility		$544.58	$753.08	$938.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.31 / $526.39 / $639.79	Facility		$77.31	$526.39	$639.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.66 / $925.65 / $1,172.78	Professional		$637.66	$925.65	$1,172.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $495.66 / $681.04 / $1,304.66	Facility		$495.66	$681.04	$1,304.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $506.12 / $825.69 / $1,128.14	Professional		$506.12	$825.69	$1,128.14
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.04 / $633.84 / $1,256.33	Professional		$467.04	$633.84	$1,256.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $390.63 / $463.19 / $519.63	Professional		$390.63	$463.19	$519.63