Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $698.38 / $4,119.28 / $18,711.00	Facility		$698.38	$4,119.28	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.05 / $1,499.11 / $3,136.71	Professional		$405.05	$1,499.11	$3,136.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,470.05 / $9,260.23 / $18,898.13	Facility		$1,470.05	$9,260.23	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $662.90 / $3,040.53 / $12,238.56	Professional		$662.90	$3,040.53	$12,238.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,899.79 / $1,899.79 / $3,165.02	Facility		$1,899.79	$1,899.79	$3,165.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $581.71 / $1,272.40 / $5,083.18	Professional		$581.71	$1,272.40	$5,083.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $592.41 / $2,227.25 / $4,961.54	Facility		$592.41	$2,227.25	$4,961.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $592.41 / $2,000.88 / $4,620.85	Professional		$592.41	$2,000.88	$4,620.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $496.06 / $3,661.45	Professional		$112.83	$496.06	$3,661.45
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $769.16 / $3,156.92 / $3,558.33	Facility		$769.16	$3,156.92	$3,558.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,470.05 / $2,270.83 / $2,336.12	Facility		$1,470.05	$2,270.83	$2,336.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $659.76 / $1,276.46 / $4,349.35	Professional		$659.76	$1,276.46	$4,349.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,660.15 / $18,898.13	Facility		$6,079.47	$9,660.15	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $607.42 / $1,571.48 / $3,846.01	Professional		$607.42	$1,571.48	$3,846.01
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 $2,251.92 / $3,544.54 / $4,990.06	Professional		$2,251.92	$3,544.54	$4,990.06