Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.82 / $1,307.19 / $17,100.00	Facility		$669.82	$1,307.19	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.12 / $541.95 / $1,279.28	Professional		$335.12	$541.95	$1,279.28
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 $563.89 / $1,015.74 / $3,745.28	Professional		$563.89	$1,015.74	$3,745.28
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 $457.65 / $726.33 / $1,343.94	Professional		$457.65	$726.33	$1,343.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $474.30 / $785.96 / $2,225.36	Facility		$474.30	$785.96	$2,225.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.50 / $814.09 / $1,695.57	Professional		$504.50	$814.09	$1,695.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $547.81 / $1,197.54	Professional		$45.48	$547.81	$1,197.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $658.95 / $941.35 / $1,017.73	Facility		$658.95	$941.35	$1,017.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $681.77 / $694.18 / $1,330.16	Facility		$681.77	$694.18	$1,330.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.60 / $852.80 / $1,272.47	Professional		$507.60	$852.80	$1,272.47
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 $563.89 / $805.18 / $1,175.71	Professional		$563.89	$805.18	$1,175.71
United Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,120.00 / $6,857.00	Facility		$629.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $611.46 / $739.43 / $1,471.42	Professional		$611.46	$739.43	$1,471.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $395.08 / $395.08 / $564.38	Professional		$395.08	$395.08	$564.38