Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $652.32 / $1,292.06 / $17,100.00	Facility		$652.32	$1,292.06	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.45 / $486.31 / $1,096.56	Professional		$326.45	$486.31	$1,096.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,330.16 / $8,921.56 / $17,453.22	Facility		$1,330.16	$8,921.56	$17,453.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $507.57 / $958.80 / $3,652.32	Professional		$507.57	$958.80	$3,652.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $3,302.92	Facility		$564.00	$906.00	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.18 / $713.31 / $1,308.54	Professional		$451.18	$713.31	$1,308.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $467.48 / $776.58 / $2,225.36	Facility		$467.48	$776.58	$2,225.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $502.00 / $794.65 / $1,695.57	Professional		$502.00	$794.65	$1,695.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $511.15 / $1,113.77	Professional		$45.48	$511.15	$1,113.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $642.87 / $931.30 / $990.93	Facility		$642.87	$931.30	$990.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $664.55 / $675.90 / $1,330.16	Facility		$664.55	$675.90	$1,330.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $496.79 / $829.79 / $1,238.96	Professional		$496.79	$829.79	$1,238.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,101.25 / $17,453.22	Facility		$5,916.52	$9,101.25	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $552.12 / $784.85 / $1,144.75	Professional		$552.12	$784.85	$1,144.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,232.00 / $1,981.00 / $10,522.00	Facility		$1,232.00	$1,981.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.00 / $726.44 / $1,422.19	Professional		$598.00	$726.44	$1,422.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $384.06 / $384.06 / $545.07	Professional		$384.06	$384.06	$545.07