Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.68 / $8,765.00 / $25,541.68	Facility		$419.68	$8,765.00	$25,541.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.95 / $399.70 / $1,551.28	Professional		$272.95	$399.70	$1,551.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,029.96 / $3,029.96 / $3,029.96	Professional		$3,029.96	$3,029.96	$3,029.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $904.15 / $16,547.20 / $26,542.00	Facility		$904.15	$16,547.20	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $426.84 / $694.93 / $2,630.26	Professional		$426.84	$694.93	$2,630.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $6,910.09	Facility		$714.97	$918.00	$6,910.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.18 / $531.12 / $897.62	Professional		$317.18	$531.12	$897.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $328.12 / $643.32 / $6,320.69	Facility		$328.12	$643.32	$6,320.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.97 / $596.66 / $4,655.70	Professional		$275.97	$596.66	$4,655.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.72 / $397.63 / $722.70	Professional		$68.72	$397.63	$722.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $426.79 / $557.44 / $592.95	Facility		$426.79	$557.44	$592.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.03 / $904.15 / $3,953.90	Facility		$390.03	$904.15	$3,953.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $666.55 / $802.78	Professional		$416.30	$666.55	$802.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,761.59 / $16,595.73 / $31,745.76	Facility		$10,761.59	$16,595.73	$31,745.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $460.64 / $580.00 / $760.22	Professional		$460.64	$580.00	$760.22
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 $327.91 / $495.60 / $845.77	Professional		$327.91	$495.60	$845.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.42 / $319.42 / $319.42	Professional		$245.42	$319.42	$319.42