Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.99 / $5,128.00 / $20,680.40	Facility		$1,186.99	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.27 / $819.76 / $1,780.60	Professional		$595.27	$819.76	$1,780.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,969.28 / $20,000.00	Facility		$1,800.00	$8,969.28	$20,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $915.87 / $1,439.47 / $5,666.10	Professional		$915.87	$1,439.47	$5,666.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $2,285.42 / $3,740.43	Facility		$714.97	$2,285.42	$3,740.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $642.37 / $1,157.33 / $1,966.66	Professional		$642.37	$1,157.33	$1,966.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $665.11 / $1,357.57 / $3,280.24	Facility		$665.11	$1,357.57	$3,280.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.41 / $1,329.65 / $2,824.57	Professional		$616.41	$1,329.65	$2,824.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $373.32 / $1,254.92	Professional		$78.68	$373.32	$1,254.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $900.62 / $1,218.06 / $1,304.49	Facility		$900.62	$1,218.06	$1,304.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $860.70 / $889.78 / $2,961.46	Facility		$860.70	$889.78	$2,961.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $990.09 / $1,415.47 / $1,766.12	Professional		$990.09	$1,415.47	$1,766.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,145.87 / $9,167.59 / $17,546.59	Facility		$6,145.87	$9,167.59	$17,546.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $877.80 / $1,266.48 / $1,686.10	Professional		$877.80	$1,266.48	$1,686.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $3,492.00 / $11,941.00	Facility		$1,950.00	$3,492.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $771.96 / $1,047.66 / $1,860.53	Professional		$771.96	$1,047.66	$1,860.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $543.86 / $543.86 / $706.76	Professional		$543.86	$543.86	$706.76