Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.20 / $2,432.73 / $16,398.00	Facility		$278.20	$2,432.73	$16,398.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $1,029.32 / $2,455.96	Professional		$238.50	$1,029.32	$2,455.96
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,723.35 / $2,196.60	Facility		$55.00	$1,723.35	$2,196.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $374.69 / $2,286.36 / $9,286.08	Professional		$374.69	$2,286.36	$9,286.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.39 / $673.36 / $3,861.03	Professional		$332.39	$673.36	$3,861.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $327.50 / $1,091.51 / $3,179.58	Facility		$327.50	$1,091.51	$3,179.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.47 / $1,091.51 / $3,204.11	Professional		$347.47	$1,091.51	$3,204.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $312.25 / $1,987.19 / $3,242.97	Professional		$312.25	$1,987.19	$3,242.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $439.52 / $2,359.73 / $2,592.90	Facility		$439.52	$2,359.73	$2,592.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.35 / $1,723.35 / $1,778.03	Facility		$1,723.35	$1,723.35	$1,778.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.16 / $687.15 / $3,305.06	Professional		$355.16	$687.15	$3,305.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $329.56 / $668.07 / $2,918.75	Professional		$329.56	$668.07	$2,918.75
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,644.40 / $2,693.48 / $3,773.26	Professional		$1,644.40	$2,693.48	$3,773.26