Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.02 / $1,006.95 / $17,930.00	Facility		$490.02	$1,006.95	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.34 / $417.18 / $983.86	Professional		$250.34	$417.18	$983.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $325.11 / $2,000.00 / $10,980.55	Facility		$325.11	$2,000.00	$10,980.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $420.91 / $847.17 / $3,228.96	Professional		$420.91	$847.17	$3,228.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.90 / $714.97 / $947.00	Facility		$413.90	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.02 / $589.91 / $1,222.41	Professional		$317.02	$589.91	$1,222.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $331.39 / $574.62 / $1,140.03	Facility		$331.39	$574.62	$1,140.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $325.58 / $567.10 / $921.96	Professional		$325.58	$567.10	$921.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.68 / $484.79 / $999.76	Professional		$48.68	$484.79	$999.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $478.02 / $740.43 / $877.03	Facility		$478.02	$740.43	$877.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.11 / $588.45 / $598.21	Facility		$325.11	$588.45	$598.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.87 / $674.79 / $1,116.74	Professional		$436.87	$674.79	$1,116.74
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 $431.88 / $694.97 / $994.19	Professional		$431.88	$694.97	$994.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,100.00 / $2,038.00 / $10,522.00	Facility		$1,100.00	$2,038.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $417.59 / $681.38 / $1,263.83	Professional		$417.59	$681.38	$1,263.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $292.22 / $356.40 / $484.00	Professional		$292.22	$356.40	$484.00