Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $749.57 / $7,920.26 / $21,917.86	Facility		$749.57	$7,920.26	$21,917.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.29 / $529.28 / $1,082.42	Professional		$355.29	$529.28	$1,082.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,193.67 / $9,558.29 / $26,542.00	Facility		$2,193.67	$9,558.29	$26,542.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $576.22 / $973.67 / $4,720.07	Professional		$576.22	$973.67	$4,720.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.20 / $1,075.31 / $3,991.53	Facility		$883.20	$1,075.31	$3,991.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $419.39 / $730.89 / $1,235.02	Professional		$419.39	$730.89	$1,235.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $453.37 / $839.56 / $3,651.07	Facility		$453.37	$839.56	$3,651.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $825.15 / $2,689.31	Professional		$392.06	$825.15	$2,689.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $530.41 / $992.05	Professional		$62.66	$530.41	$992.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $563.47 / $750.13 / $829.46	Facility		$563.47	$750.13	$829.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $554.02 / $1,460.91 / $2,583.64	Facility		$554.02	$1,460.91	$2,583.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.04 / $935.91 / $1,129.63	Professional		$587.04	$935.91	$1,129.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,069.92 / $9,804.29 / $18,754.53	Facility		$7,069.92	$9,804.29	$18,754.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $654.30 / $813.87 / $1,068.53	Professional		$654.30	$813.87	$1,068.53
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 $440.95 / $701.52 / $1,187.56	Professional		$440.95	$701.52	$1,187.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $344.53 / $438.24 / $438.24	Professional		$344.53	$438.24	$438.24