Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $797.20 / $1,529.86 / $18,711.00	Facility		$797.20	$1,529.86	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.68 / $609.26 / $1,127.91	Professional		$399.68	$609.26	$1,127.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $810.72 / $4,225.91 / $9,557.87	Facility		$810.72	$4,225.91	$9,557.87
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $671.43 / $1,178.32 / $4,369.43	Professional		$671.43	$1,178.32	$4,369.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,557.08	Facility		$644.92	$1,110.00	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.50 / $857.66 / $1,569.49	Professional		$546.50	$857.66	$1,569.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $556.45 / $917.68 / $1,464.17	Facility		$556.45	$917.68	$1,464.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $597.00 / $935.77 / $1,523.77	Professional		$597.00	$935.77	$1,523.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $228.17 / $1,245.50	Professional		$37.39	$228.17	$1,245.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $750.40 / $1,087.55 / $1,188.58	Facility		$750.40	$1,087.55	$1,188.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.39 / $788.22 / $810.72	Facility		$551.39	$788.22	$810.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $607.24 / $1,013.84 / $1,486.08	Professional		$607.24	$1,013.84	$1,486.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,319.34 / $8,267.12	Facility		$2,802.50	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $671.43 / $930.90 / $1,374.74	Professional		$671.43	$930.90	$1,374.74
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,612.00 / $6,857.00	Facility		$600.00	$1,612.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $708.99 / $859.56 / $1,702.17	Professional		$708.99	$859.56	$1,702.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $472.73 / $472.73 / $658.60	Professional		$472.73	$472.73	$658.60