Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.00 / $2,291.00 / $18,711.00	Facility		$521.00	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.08 / $480.30 / $973.19	Professional		$326.08	$480.30	$973.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,874.86 / $9,690.19 / $19,448.18	Facility		$1,874.86	$9,690.19	$19,448.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $524.50 / $873.82 / $3,291.30	Professional		$524.50	$873.82	$3,291.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $4,636.17	Facility		$466.83	$568.48	$4,636.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.67 / $667.35 / $1,127.84	Professional		$353.67	$667.35	$1,127.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $392.98 / $756.17 / $4,240.71	Facility		$392.98	$756.17	$4,240.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.13 / $714.69 / $3,123.63	Professional		$348.13	$714.69	$3,123.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $426.11 / $856.21	Professional		$48.66	$426.11	$856.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $525.62 / $700.82 / $750.40	Facility		$525.62	$700.82	$750.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $500.11 / $1,195.26 / $2,776.76	Facility		$500.11	$1,195.26	$2,776.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.89 / $843.08 / $1,017.59	Professional		$528.89	$843.08	$1,017.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,832.97 / $10,166.93 / $19,669.00	Facility		$6,832.97	$10,166.93	$19,669.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $590.64 / $736.29 / $962.08	Professional		$590.64	$736.29	$962.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $2,759.00 / $11,941.00	Facility		$1,300.00	$2,759.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $377.72 / $634.79 / $1,069.77	Professional		$377.72	$634.79	$1,069.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $310.58 / $403.50 / $403.50	Professional		$310.58	$403.50	$403.50