Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.70 / $5,128.00 / $22,024.00	Facility		$77.70	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $61.69 / $84.58	Professional		$50.31	$61.69	$84.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,728.65 / $5,709.61	Facility		$55.00	$3,728.65	$5,709.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $130.76 / $772.72	Professional		$78.09	$130.76	$772.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $1,557.08	Facility		$466.83	$568.48	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.93 / $184.42	Professional		$60.26	$104.93	$184.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $61.87 / $120.15 / $1,424.27	Facility		$61.87	$120.15	$1,424.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $112.76 / $1,049.08	Professional		$52.70	$112.76	$1,049.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Professional		$45.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $77.61 / $106.70 / $111.22	Facility		$77.61	$106.70	$111.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.75 / $385.63 / $916.41	Facility		$74.75	$385.63	$916.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $126.31 / $152.44	Professional		$79.73	$126.31	$152.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,802.50 / $4,321.81 / $8,267.12	Facility		$2,802.50	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $109.13 / $143.76	Professional		$88.28	$109.13	$143.76
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 $60.42 / $95.40 / $160.27	Professional		$60.42	$95.40	$160.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $156.80 / $156.80	Professional		$67.48	$156.80	$156.80