Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.60 / $2,419.94 / $17,100.00	Facility		$351.60	$2,419.94	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.47 / $876.01 / $2,028.28	Professional		$214.47	$876.01	$2,028.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,746.26 / $7,150.94 / $11,933.63	Facility		$1,746.26	$7,150.94	$11,933.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $350.31 / $1,781.85 / $7,128.80	Professional		$350.31	$1,781.85	$7,128.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.22 / $625.03 / $2,870.93	Professional		$257.22	$625.03	$2,870.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $288.50 / $1,243.49 / $3,247.78	Facility		$288.50	$1,243.49	$3,247.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.07 / $908.30 / $2,828.78	Professional		$283.07	$908.30	$2,828.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $252.55 / $1,500.93 / $2,534.63	Professional		$252.55	$1,500.93	$2,534.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $428.13 / $1,840.03 / $2,087.60	Facility		$428.13	$1,840.03	$2,087.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,330.78 / $1,330.78 / $1,390.71	Facility		$1,330.78	$1,330.78	$1,390.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $349.19 / $1,143.83 / $2,641.48	Professional		$349.19	$1,143.83	$2,641.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,460.79 / $9,027.82 / $17,279.07	Facility		$6,460.79	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $354.51 / $729.09 / $2,433.17	Professional		$354.51	$729.09	$2,433.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,623.00 / $12,835.00	Facility		$2,155.00	$3,623.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,161.94 / $1,987.65 / $2,968.71	Professional		$1,161.94	$1,987.65	$2,968.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $198.88 / $1,076.13	Professional		$198.88	$198.88	$1,076.13