Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.45 / $3,016.00 / $14,848.14	Facility		$362.45	$3,016.00	$14,848.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.88 / $908.28 / $1,894.26	Professional		$204.88	$908.28	$1,894.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,718.33 / $13,248.98	Facility		$55.00	$6,718.33	$13,248.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $332.63 / $1,831.56 / $7,464.05	Professional		$332.63	$1,831.56	$7,464.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $3,991.53	Facility		$500.00	$870.49	$3,991.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.83 / $707.34 / $2,967.10	Professional		$276.83	$707.34	$2,967.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $298.80 / $1,731.72 / $3,928.44	Facility		$298.80	$1,731.72	$3,928.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.97 / $1,358.11 / $3,625.27	Professional		$287.97	$1,358.11	$3,625.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $248.09 / $1,534.77 / $2,595.01	Professional		$248.09	$1,534.77	$2,595.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,360.99 / $1,937.64 / $2,668.47	Facility		$1,360.99	$1,937.64	$2,668.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,321.64 / $1,382.56 / $2,583.64	Facility		$1,321.64	$1,382.56	$2,583.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.58 / $789.75 / $2,623.33	Professional		$319.58	$789.75	$2,623.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,718.33 / $9,804.29 / $18,754.53	Facility		$6,718.33	$9,804.29	$18,754.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $337.08 / $1,387.90 / $2,467.71	Professional		$337.08	$1,387.90	$2,467.71
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 $1,231.02 / $2,151.00 / $3,248.26	Professional		$1,231.02	$2,151.00	$3,248.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.72 / $778.51 / $1,084.95	Professional		$205.72	$778.51	$1,084.95