Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $858.51 / $4,011.00 / $18,711.00	Facility		$858.51	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $585.23 / $858.51 / $1,624.58	Professional		$585.23	$858.51	$1,624.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,952.04 / $16,547.20 / $31,745.76	Facility		$2,952.04	$16,547.20	$31,745.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $868.30 / $1,435.82 / $6,414.54	Professional		$868.30	$1,435.82	$6,414.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.00 / $906.00 / $6,910.09	Facility		$564.00	$906.00	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.31 / $1,047.25 / $1,925.03	Professional		$691.31	$1,047.25	$1,925.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $787.05 / $1,338.50 / $6,320.69	Facility		$787.05	$1,338.50	$6,320.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $844.95 / $1,338.50 / $6,059.92	Professional		$844.95	$1,338.50	$6,059.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $658.96 / $1,406.23	Professional		$92.76	$658.96	$1,406.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $886.89 / $1,187.91 / $1,273.00	Facility		$886.89	$1,187.91	$1,273.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $841.22 / $868.30 / $2,952.04	Facility		$841.22	$868.30	$2,952.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $868.30 / $1,426.16 / $1,723.49	Professional		$868.30	$1,426.16	$1,723.49
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,586.25 / $31,745.76	Facility		$10,761.59	$16,586.25	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $847.91 / $1,212.84 / $1,600.60	Professional		$847.91	$1,212.84	$1,600.60
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 $762.39 / $925.37 / $1,980.38	Professional		$762.39	$925.37	$1,980.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $682.65 / $682.65 / $682.65	Professional		$682.65	$682.65	$682.65