Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.08 / $3,810.00 / $18,711.00	Facility		$959.08	$3,810.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $678.18 / $959.08 / $1,936.75	Professional		$678.18	$959.08	$1,936.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,010.87 / $7,241.84	Facility		$55.00	$2,010.87	$7,241.84
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.84 / $1,835.85 / $6,929.70	Professional		$1,105.84	$1,835.85	$6,929.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $715.22 / $1,383.19 / $2,333.82	Professional		$715.22	$1,383.19	$2,333.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $698.24 / $1,443.96 / $1,881.30	Facility		$698.24	$1,443.96	$1,881.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.55 / $1,432.66 / $1,893.48	Professional		$683.55	$1,432.66	$1,893.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $919.41 / $1,832.38	Professional		$98.46	$919.41	$1,832.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,063.34 / $1,396.95 / $1,577.18	Facility		$1,063.34	$1,396.95	$1,577.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $936.35 / $1,460.91 / $2,583.64	Facility		$936.35	$1,460.91	$2,583.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.32 / $1,750.27 / $2,135.31	Professional		$1,107.32	$1,750.27	$2,135.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,187.31 / $5,187.31 / $8,165.62	Facility		$5,187.31	$5,187.31	$8,165.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,105.84 / $1,531.23 / $2,008.64	Professional		$1,105.84	$1,531.23	$2,008.64
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $788.12 / $1,285.89 / $2,222.05	Professional		$788.12	$1,285.89	$2,222.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $653.73 / $827.59 / $827.59	Professional		$653.73	$827.59	$827.59