Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.30 / $943.07 / $18,711.00	Facility		$338.30	$943.07	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $442.09 / $943.07	Professional		$198.33	$442.09	$943.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $867.92 / $19,823.93 / $38,781.51	Facility		$867.92	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $306.86 / $631.11 / $2,847.38	Professional		$306.86	$631.11	$2,847.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $870.49 / $8,315.84	Facility		$714.97	$870.49	$8,315.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.80 / $465.00 / $936.54	Professional		$240.80	$465.00	$936.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $243.04 / $472.78 / $6,240.53	Facility		$243.04	$472.78	$6,240.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $243.04 / $468.04 / $3,607.82	Professional		$243.04	$468.04	$3,607.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $186.82 / $675.21	Professional		$38.18	$186.82	$675.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $377.94 / $649.62 / $675.36	Facility		$377.94	$649.62	$675.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.13 / $453.34 / $6,526.97	Facility		$442.13	$453.34	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.83 / $477.75 / $816.00	Professional		$300.83	$477.75	$816.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $290.25 / $450.91 / $812.57	Professional		$290.25	$450.91	$812.57
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 $408.66 / $554.61 / $961.56	Professional		$408.66	$554.61	$961.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $202.99 / $272.48 / $372.29	Professional		$202.99	$272.48	$372.29