Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.64 / $6,623.55 / $20,680.40	Facility		$828.64	$6,623.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.25 / $821.68 / $1,187.38	Professional		$253.25	$821.68	$1,187.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $531.03 / $9,388.90 / $18,898.13	Facility		$531.03	$9,388.90	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $417.43 / $891.10 / $3,914.08	Professional		$417.43	$891.10	$3,914.08
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 $625.42 / $1,084.04 / $1,338.72	Professional		$625.42	$1,084.04	$1,338.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.81 / $1,353.46 / $9,593.57	Facility		$100.81	$1,353.46	$9,593.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $1,227.99 / $2,641.65	Professional		$77.81	$1,227.99	$2,641.65
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 $25.78 / $43.48 / $47.71	Facility		$25.78	$43.48	$47.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $531.03 / $847.11 / $1,470.05	Facility		$531.03	$847.11	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.60 / $1,054.05 / $1,483.47	Professional		$693.60	$1,054.05	$1,483.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,254.12 / $9,879.37 / $18,898.13	Facility		$7,254.12	$9,879.37	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $362.56 / $458.14 / $950.93	Professional		$362.56	$458.14	$950.93
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 $708.70 / $1,044.40 / $1,643.99	Professional		$708.70	$1,044.40	$1,643.99