Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.03 / $1,165.01 / $17,100.00	Facility		$689.03	$1,165.01	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $593.78 / $1,165.01	Professional		$316.00	$593.78	$1,165.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $3,047.52 / $9,124.02 / $17,453.22	Facility		$3,047.52	$9,124.02	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $645.03 / $1,048.66 / $3,699.76	Professional		$645.03	$1,048.66	$3,699.76
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 $519.91 / $910.17 / $1,514.43	Professional		$519.91	$910.17	$1,514.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $461.07 / $821.09 / $2,793.98	Facility		$461.07	$821.09	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.98 / $801.84 / $1,600.43	Professional		$470.98	$801.84	$1,600.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $181.04 / $1,125.29	Professional		$37.44	$181.04	$1,125.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $609.50 / $848.22 / $1,005.00	Facility		$609.50	$848.22	$1,005.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $674.97 / $685.50 / $1,140.42	Facility		$674.97	$685.50	$1,140.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $640.79 / $895.35 / $1,256.55	Professional		$640.79	$895.35	$1,256.55
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 $631.67 / $863.01 / $1,161.00	Professional		$631.67	$863.01	$1,161.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $570.17 / $982.11 / $1,449.23	Professional		$570.17	$982.11	$1,449.23