Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $3,925.18 / $18,711.00	Facility		$699.00	$3,925.18	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.30 / $512.66 / $1,067.80	Professional		$371.30	$512.66	$1,067.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $18,898.13	Facility		$5,968.10	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $560.72 / $925.55 / $4,956.60	Professional		$560.72	$925.55	$4,956.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,353.44 / $2,353.44 / $3,920.80	Facility		$2,353.44	$2,353.44	$3,920.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.62 / $817.31 / $1,206.97	Professional		$493.62	$817.31	$1,206.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $497.33 / $914.46 / $5,453.39	Facility		$497.33	$914.46	$5,453.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $521.59 / $887.61 / $2,641.65	Professional		$521.59	$887.61	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $544.10 / $991.96	Professional		$68.09	$544.10	$991.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $611.32 / $773.85 / $808.54	Facility		$611.32	$773.85	$808.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $525.92 / $544.74 / $1,470.05	Facility		$525.92	$544.74	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.40 / $906.56 / $1,117.26	Professional		$573.40	$906.56	$1,117.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,873.73 / $18,898.13	Facility		$6,079.47	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $536.38 / $781.49 / $1,055.52	Professional		$536.38	$781.49	$1,055.52
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 $502.48 / $781.77 / $1,134.45	Professional		$502.48	$781.77	$1,134.45