Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.11 / $850.41 / $17,100.00	Facility		$439.11	$850.41	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.80 / $439.11 / $982.60	Professional		$317.80	$439.11	$982.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,070.29 / $4,554.63 / $11,500.00	Facility		$1,070.29	$4,554.63	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $511.90 / $811.93 / $2,969.25	Professional		$511.90	$811.93	$2,969.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $1,985.59	Facility		$625.25	$761.81	$1,985.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.16 / $649.84 / $1,142.82	Professional		$353.16	$649.84	$1,142.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $335.73 / $658.30 / $1,422.51	Facility		$335.73	$658.30	$1,422.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.34 / $646.54 / $1,200.00	Professional		$332.34	$646.54	$1,200.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $249.63 / $788.46	Professional		$39.46	$249.63	$788.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $445.74 / $633.04 / $771.17	Facility		$445.74	$633.04	$771.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.92 / $526.01 / $1,613.81	Facility		$501.92	$526.01	$1,613.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.01 / $763.18 / $956.05	Professional		$526.01	$763.18	$956.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,953.48 / $4,552.03 / $8,712.50	Facility		$2,953.48	$4,552.03	$8,712.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $480.33 / $705.84 / $940.39	Professional		$480.33	$705.84	$940.39
United Facility/Professional Facility Modifier Low / Median / High Price $702.00 / $1,436.00 / $6,857.00	Facility		$702.00	$1,436.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.48 / $575.29 / $1,093.91	Professional		$397.48	$575.29	$1,093.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.07 / $378.44 / $430.14	Professional		$321.07	$378.44	$430.14