Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.79 / $6,470.00 / $18,800.00	Facility		$349.79	$6,470.00	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $254.18 / $508.26	Professional		$162.94	$254.18	$508.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $256.38 / $13,107.20 / $25,086.94	Facility		$256.38	$13,107.20	$25,086.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $268.42 / $452.18 / $43,989.26	Professional		$268.42	$452.18	$43,989.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,576.11 / $3,576.11 / $5,957.76	Facility		$3,576.11	$3,576.11	$5,957.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.33 / $393.59 / $563.32	Professional		$255.33	$393.59	$563.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $247.23 / $442.00 / $8,328.06	Facility		$247.23	$442.00	$8,328.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $259.29 / $429.33 / $4,014.06	Professional		$259.29	$429.33	$4,014.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $328.39 / $540.39	Professional		$51.82	$328.39	$540.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $282.50 / $361.14 / $400.66	Facility		$282.50	$361.14	$400.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $256.38 / $263.19 / $2,153.38	Facility		$256.38	$263.19	$2,153.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.16 / $433.71 / $525.83	Professional		$278.16	$433.71	$525.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,504.29 / $13,107.20 / $25,086.94	Facility		$8,504.29	$13,107.20	$25,086.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $268.42 / $368.80 / $496.77	Professional		$268.42	$368.80	$496.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $3,509.00 / $17,644.00	Facility		$2,912.00	$3,509.00	$17,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $253.45 / $357.13 / $561.61	Professional		$253.45	$357.13	$561.61