Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.27 / $3,767.01 / $18,711.00	Facility		$535.27	$3,767.01	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.69 / $1,319.15 / $2,978.89	Professional		$280.69	$1,319.15	$2,978.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,099.46 / $8,490.57 / $17,279.07	Facility		$2,099.46	$8,490.57	$17,279.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $492.37 / $2,797.62 / $11,287.52	Professional		$492.37	$2,797.62	$11,287.52
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 $465.68 / $943.88 / $4,689.88	Professional		$465.68	$943.88	$4,689.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $474.15 / $2,139.48 / $4,370.58	Facility		$474.15	$2,139.48	$4,370.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $464.89 / $1,757.86 / $4,145.43	Professional		$464.89	$1,757.86	$4,145.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $381.02 / $2,315.34 / $3,876.51	Professional		$381.02	$2,315.34	$3,876.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $590.94 / $2,796.30 / $3,232.73	Facility		$590.94	$2,796.30	$3,232.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,099.46 / $2,099.46 / $2,192.07	Facility		$2,099.46	$2,099.46	$2,192.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $503.44 / $974.02 / $3,848.39	Professional		$503.44	$974.02	$3,848.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,484.59 / $9,027.82 / $17,279.07	Facility		$6,484.59	$9,027.82	$17,279.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $492.37 / $899.21 / $3,555.76	Professional		$492.37	$899.21	$3,555.76
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 $1,963.38 / $2,739.60 / $4,520.33	Professional		$1,963.38	$2,739.60	$4,520.33