Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.76 / $5,128.00 / $18,800.00	Facility		$247.76	$5,128.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $173.83 / $343.94	Professional		$147.74	$173.83	$343.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $9,749.10 / $16,442.09 / $29,789.77	Facility		$9,749.10	$16,442.09	$29,789.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $316.57 / $1,698.99	Professional		$189.42	$316.57	$1,698.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,369.12 / $10,369.12 / $10,369.12	Facility		$10,369.12	$10,369.12	$10,369.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $278.80 / $404.40	Professional		$182.02	$278.80	$404.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $210.60 / $328.51 / $9,093.37	Facility		$210.60	$328.51	$9,093.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.15 / $303.82 / $6,555.21	Professional		$202.15	$303.82	$6,555.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $254.26 / $412.09	Professional		$41.05	$254.26	$412.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $207.23 / $258.74 / $286.74	Facility		$207.23	$258.74	$286.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.73 / $185.73 / $186.91	Facility		$185.73	$185.73	$186.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.47 / $312.73 / $374.30	Professional		$198.47	$312.73	$374.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,098.52 / $15,564.30 / $29,789.77	Facility		$10,098.52	$15,564.30	$29,789.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $189.42 / $268.88 / $362.17	Professional		$189.42	$268.88	$362.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $11,540.00 / $20,708.00	Facility		$3,028.00	$11,540.00	$20,708.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $268.92 / $396.83	Professional		$178.20	$268.92	$396.83