Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $631.40 / $2,388.88 / $17,930.00	Facility		$631.40	$2,388.88	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $834.96 / $2,089.46	Professional		$316.83	$834.96	$2,089.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,934.06 / $9,124.02 / $23,606.56	Facility		$2,934.06	$9,124.02	$23,606.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $645.75 / $1,887.09 / $7,315.60	Professional		$645.75	$1,887.09	$7,315.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.56 / $1,982.56 / $3,302.92	Facility		$1,982.56	$1,982.56	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $558.29 / $1,261.98 / $3,037.24	Professional		$558.29	$1,261.98	$3,037.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $521.55 / $1,273.28 / $2,896.56	Facility		$521.55	$1,273.28	$2,896.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.55 / $1,234.50 / $2,474.89	Professional		$521.55	$1,234.50	$2,474.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.89 / $354.37 / $2,078.10	Professional		$74.89	$354.37	$2,078.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $617.60 / $1,656.91 / $1,991.91	Facility		$617.60	$1,656.91	$1,991.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.42 / $1,341.79 / $1,358.66	Facility		$1,140.42	$1,341.79	$1,358.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.94 / $1,325.20 / $2,490.48	Professional		$630.94	$1,325.20	$2,490.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $628.53 / $1,283.13 / $2,301.10	Professional		$628.53	$1,283.13	$2,301.10
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,111.74 / $1,824.31 / $2,837.59	Professional		$1,111.74	$1,824.31	$2,837.59