Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.90 / $10,700.00 / $22,024.00	Facility		$486.90	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.79 / $482.81 / $822.26	Professional		$327.79	$482.81	$822.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $496.94 / $26,091.73 / $49,939.07	Facility		$496.94	$26,091.73	$49,939.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $534.37 / $946.66 / $3,864.53	Professional		$534.37	$946.66	$3,864.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,238.37 / $10,238.37 / $17,057.02	Facility		$10,238.37	$10,238.37	$17,057.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.54 / $957.42 / $1,339.95	Professional		$712.54	$957.42	$1,339.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $440.75 / $859.46 / $16,446.50	Facility		$440.75	$859.46	$16,446.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.28 / $795.50 / $11,492.23	Professional		$406.28	$795.50	$11,492.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.81 / $436.41 / $476.62	Facility		$173.81	$436.41	$476.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.94 / $605.07 / $3,637.29	Facility		$496.94	$605.07	$3,637.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $605.07 / $868.39 / $1,201.00	Professional		$605.07	$868.39	$1,201.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,231.92 / $25,527.34 / $49,939.07	Facility		$16,231.92	$25,527.34	$49,939.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $506.35 / $861.24 / $1,172.40	Professional		$506.35	$861.24	$1,172.40
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 $493.21 / $848.94 / $1,221.45	Professional		$493.21	$848.94	$1,221.45