Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $899.22 / $10,700.00 / $17,405.09	Facility		$899.22	$10,700.00	$17,405.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $626.39 / $824.98 / $1,714.43	Professional		$626.39	$824.98	$1,714.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.97 / $1,094.63 / $1,686.36	Professional		$616.97	$1,094.63	$1,686.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,445.31 / $9,032.98 / $23,371.01	Facility		$6,445.31	$9,032.98	$23,371.01
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $513.51 / $854.12 / $854.12	Facility	AS	$513.51	$854.12	$854.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $1,535.83 / $5,702.78	Professional		$899.51	$1,535.83	$5,702.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,763.00 / $3,763.00 / $3,763.00	Facility		$3,763.00	$3,763.00	$3,763.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $824.23 / $1,295.93 / $1,919.83	Professional		$824.23	$1,295.93	$1,919.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $949.71 / $1,463.25 / $8,977.36	Facility		$949.71	$1,463.25	$8,977.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $949.71 / $1,421.86 / $2,378.91	Professional		$949.71	$1,421.86	$2,378.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.39 / $838.24 / $1,483.02	Professional		$67.39	$838.24	$1,483.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $959.44 / $1,226.78 / $1,360.10	Facility		$959.44	$1,226.78	$1,360.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.99 / $881.99 / $886.12	Facility		$881.99	$881.99	$886.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $934.89 / $1,473.10 / $1,763.12	Professional		$934.89	$1,473.10	$1,763.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,899.78 / $9,027.82 / $17,279.07	Facility		$6,899.78	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $899.51 / $1,274.70 / $1,716.98	Professional		$899.51	$1,274.70	$1,716.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $12,835.00	Facility		$2,155.00	$6,594.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $784.92 / $1,177.41 / $1,869.22	Professional		$784.92	$1,177.41	$1,869.22