Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,039.93 / $6,470.00 / $20,680.40	Facility		$1,039.93	$6,470.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.02 / $754.13 / $1,512.21	Professional		$541.02	$754.13	$1,512.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,879.37 / $25,560.89	Facility		$6,079.47	$9,879.37	$25,560.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $803.91 / $1,326.49 / $5,158.00	Professional		$803.91	$1,326.49	$5,158.00
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 $711.03 / $1,170.19 / $1,727.66	Professional		$711.03	$1,170.19	$1,727.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $704.34 / $1,287.36 / $9,036.82	Facility		$704.34	$1,287.36	$9,036.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $706.92 / $1,262.41 / $2,641.65	Professional		$706.92	$1,262.41	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $688.71 / $1,337.63	Professional		$99.37	$688.71	$1,337.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $802.13 / $1,094.78 / $1,145.03	Facility		$802.13	$1,094.78	$1,145.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $756.51 / $781.01 / $1,470.05	Facility		$756.51	$781.01	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.91 / $1,302.77 / $1,601.85	Professional		$803.91	$1,302.77	$1,601.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,208.83 / $9,873.73 / $18,898.13	Facility		$7,208.83	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $771.54 / $1,120.03 / $1,513.32	Professional		$771.54	$1,120.03	$1,513.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $3,297.00 / $12,835.00	Facility		$2,155.00	$3,297.00	$12,835.00
United Facility/Professional Professional Modifier Low / Median / High Price $723.36 / $1,101.83 / $1,625.90	Professional		$723.36	$1,101.83	$1,625.90