Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.69 / $3,810.00 / $18,711.00	Facility		$644.69	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.01 / $475.64 / $947.43	Professional		$348.01	$475.64	$947.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,132.17 / $6,458.96 / $16,394.00	Facility		$2,132.17	$6,458.96	$16,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $526.00 / $868.18 / $2,992.65	Professional		$526.00	$868.18	$2,992.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,046.84	Facility		$625.25	$761.81	$2,046.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.17 / $658.15 / $1,061.00	Professional		$402.17	$658.15	$1,061.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $436.80 / $887.59 / $3,135.90	Facility		$436.80	$887.59	$3,135.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.26 / $789.61 / $1,379.07	Professional		$386.26	$789.61	$1,379.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.14 / $581.94 / $981.72	Professional		$96.14	$581.94	$981.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $526.50 / $684.70 / $744.90	Facility		$526.50	$684.70	$744.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $473.84 / $1,107.43 / $2,328.38	Facility		$473.84	$1,107.43	$2,328.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.11 / $795.90 / $960.65	Professional		$505.11	$795.90	$960.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,229.89 / $5,815.71 / $10,527.13	Facility		$4,229.89	$5,815.71	$10,527.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $559.61 / $691.58 / $915.26	Professional		$559.61	$691.58	$915.26
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 $405.46 / $632.21 / $1,009.91	Professional		$405.46	$632.21	$1,009.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $290.97 / $369.58 / $369.58	Professional		$290.97	$369.58	$369.58