Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.34 / $5,116.62 / $18,800.00	Facility		$770.34	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.45 / $544.60 / $1,097.10	Professional		$372.45	$544.60	$1,097.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,186.14 / $1,979.24 / $11,500.00	Facility		$1,186.14	$1,979.24	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $595.53 / $1,034.18 / $3,614.78	Professional		$595.53	$1,034.18	$3,614.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $449.17 / $449.17 / $748.32	Facility		$449.17	$449.17	$748.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.19 / $866.82 / $1,281.66	Professional		$524.19	$866.82	$1,281.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $473.07 / $854.84 / $2,947.23	Facility		$473.07	$854.84	$2,947.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.07 / $854.84 / $1,080.90	Professional		$473.07	$854.84	$1,080.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $588.56 / $1,043.36	Professional		$68.31	$588.56	$1,043.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $590.94 / $811.37 / $848.22	Facility		$590.94	$811.37	$848.22
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.32 / $559.00 / $578.55	Facility		$306.32	$559.00	$578.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $595.53 / $963.07 / $1,186.61	Professional		$595.53	$963.07	$1,186.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,478.69 / $2,000.46 / $3,779.22	Facility		$1,478.69	$2,000.46	$3,779.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $570.11 / $824.98 / $1,121.04	Professional		$570.11	$824.98	$1,121.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $535.20 / $843.87 / $1,203.00	Professional		$535.20	$843.87	$1,203.00