Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.48 / $3,016.00 / $13,809.00	Facility		$629.48	$3,016.00	$13,809.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.95 / $1,356.53 / $3,144.77	Professional		$381.95	$1,356.53	$3,144.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,407.02 / $7,021.57 / $12,206.65	Facility		$2,407.02	$7,021.57	$12,206.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $618.79 / $2,564.98 / $10,043.12	Professional		$618.79	$2,564.98	$10,043.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.07 / $1,120.38 / $4,010.71	Professional		$456.07	$1,120.38	$4,010.71
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $519.50 / $1,810.06 / $4,478.04	Facility		$519.50	$1,810.06	$4,478.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $492.96 / $1,322.15 / $3,930.62	Professional		$492.96	$1,322.15	$3,930.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $361.88 / $2,150.83 / $3,620.23	Professional		$361.88	$2,150.83	$3,620.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,310.68 / $2,598.50 / $2,919.86	Facility		$1,310.68	$2,598.50	$2,919.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,875.53 / $1,875.53 / $1,946.99	Facility		$1,875.53	$1,875.53	$1,946.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.57 / $1,867.73 / $3,722.74	Professional		$622.57	$1,867.73	$3,722.74
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 $632.05 / $1,299.89 / $3,366.82	Professional		$632.05	$1,299.89	$3,366.82
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 $1,682.05 / $2,697.04 / $4,198.03	Professional		$1,682.05	$2,697.04	$4,198.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $356.35 / $356.35 / $1,512.60	Professional		$356.35	$356.35	$1,512.60