Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.44 / $890.34 / $14,464.32	Facility		$495.44	$890.34	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.02 / $378.35 / $837.68	Professional		$261.02	$378.35	$837.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.02 / $8,576.15 / $16,394.00	Facility		$1,689.02	$8,576.15	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $423.60 / $746.21 / $2,696.72	Professional		$423.60	$746.21	$2,696.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $3,302.92	Facility		$625.25	$761.81	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.52 / $583.91 / $1,044.92	Professional		$336.52	$583.91	$1,044.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $343.76 / $636.90 / $2,793.98	Facility		$343.76	$636.90	$2,793.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.42 / $607.20 / $1,166.50	Professional		$329.42	$607.20	$1,166.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $311.01 / $817.11	Professional		$39.46	$311.01	$817.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $482.90 / $696.80 / $738.48	Facility		$482.90	$696.80	$738.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.22 / $904.15 / $1,781.59	Facility		$494.22	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.37 / $650.02 / $948.26	Professional		$431.37	$650.02	$948.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,916.52 / $9,118.81 / $17,453.22	Facility		$5,916.52	$9,118.81	$17,453.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $441.94 / $615.33 / $845.61	Professional		$441.94	$615.33	$845.61
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.30 / $644.79 / $1,058.18	Professional		$395.30	$644.79	$1,058.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $292.63 / $299.81 / $405.10	Professional		$292.63	$299.81	$405.10