Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.00 / $4,500.00 / $20,680.40	Facility		$801.00	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $471.63 / $660.92 / $1,334.69	Professional		$471.63	$660.92	$1,334.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,689.02 / $8,576.15 / $26,542.00	Facility		$1,689.02	$8,576.15	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $750.19 / $1,223.05 / $4,411.13	Professional		$750.19	$1,223.05	$4,411.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $918.00 / $3,302.92	Facility		$714.97	$918.00	$3,302.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.39 / $919.39 / $1,553.47	Professional		$513.39	$919.39	$1,553.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $570.37 / $1,135.60 / $3,021.20	Facility		$570.37	$1,135.60	$3,021.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $486.55 / $1,052.70 / $2,225.36	Professional		$486.55	$1,052.70	$2,225.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $584.42 / $1,222.15	Professional		$94.30	$584.42	$1,222.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $752.15 / $987.58 / $1,027.78	Facility		$752.15	$987.58	$1,027.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $680.41 / $904.15 / $1,781.59	Facility		$680.41	$904.15	$1,781.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.03 / $1,160.36 / $1,391.49	Professional		$728.03	$1,160.36	$1,391.49
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 $803.57 / $1,008.45 / $1,317.71	Professional		$803.57	$1,008.45	$1,317.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $11,191.38 / $16,606.50	Facility		$1,120.00	$11,191.38	$16,606.50
United Facility/Professional Professional Modifier Low / Median / High Price $523.66 / $841.58 / $1,472.39	Professional		$523.66	$841.58	$1,472.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $424.04 / $549.52 / $549.52	Professional		$424.04	$549.52	$549.52