Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.44 / $5,128.00 / $20,680.40	Facility		$1,013.44	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.54 / $701.76 / $1,537.81	Professional		$468.54	$701.76	$1,537.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,526.97 / $19,913.50 / $38,781.51	Facility		$6,526.97	$19,913.50	$38,781.51
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $767.88 / $1,191.83 / $5,224.09	Professional		$767.88	$1,191.83	$5,224.09
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 $570.44 / $988.14 / $1,678.54	Professional		$570.44	$988.14	$1,678.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $579.85 / $1,174.00 / $7,292.72	Facility		$579.85	$1,174.00	$7,292.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.35 / $1,131.72 / $6,279.70	Professional		$525.35	$1,131.72	$6,279.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $353.22 / $1,079.29	Professional		$78.37	$353.22	$1,079.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $775.18 / $1,043.19 / $1,112.86	Facility		$775.18	$1,043.19	$1,112.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.31 / $759.08 / $6,526.97	Facility		$734.31	$759.08	$6,526.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $844.69 / $1,207.55 / $1,506.69	Professional		$844.69	$1,207.55	$1,506.69
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 $748.90 / $1,080.45 / $1,446.72	Professional		$748.90	$1,080.45	$1,446.72
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00
United Facility/Professional Professional Modifier Low / Median / High Price $658.55 / $897.61 / $1,587.30	Professional		$658.55	$897.61	$1,587.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $462.41 / $462.41 / $602.21	Professional		$462.41	$462.41	$602.21