Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.31 / $1,705.78 / $20,680.40	Facility		$929.31	$1,705.78	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.08 / $875.67 / $1,705.78	Professional		$561.08	$875.67	$1,705.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $923.60 / $4,675.74	Facility		$55.00	$923.60	$4,675.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $945.52 / $1,596.08 / $5,939.78	Professional		$945.52	$1,596.08	$5,939.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $651.02 / $1,174.99 / $2,027.40	Professional		$651.02	$1,174.99	$2,027.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $619.69 / $1,221.63 / $1,645.65	Facility		$619.69	$1,221.63	$1,645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.69 / $1,221.63 / $1,654.17	Professional		$619.69	$1,221.63	$1,654.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.49 / $790.19 / $1,570.59	Professional		$98.49	$790.19	$1,570.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $867.60 / $1,174.42 / $1,354.07	Facility		$867.60	$1,174.42	$1,354.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $911.89 / $911.89 / $923.60	Facility		$911.89	$911.89	$923.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.31 / $1,531.69 / $1,848.74	Professional		$961.31	$1,531.69	$1,848.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,076.96 / $1,328.60 / $1,736.04	Professional		$1,076.96	$1,328.60	$1,736.04
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $712.50 / $1,134.57 / $1,943.55	Professional		$712.50	$1,134.57	$1,943.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $563.45 / $724.05 / $724.05	Professional		$563.45	$724.05	$724.05