Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $898.38 / $5,128.00 / $20,680.40	Facility		$898.38	$5,128.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $502.72 / $651.19 / $1,286.78	Professional		$502.72	$651.19	$1,286.78
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $6,718.33 / $9,804.29 / $25,366.65	Facility		$6,718.33	$9,804.29	$25,366.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $702.62 / $1,207.65 / $4,214.70	Professional		$702.62	$1,207.65	$4,214.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,395.89 / $2,395.89 / $3,991.53	Facility		$2,395.89	$2,395.89	$3,991.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.38 / $1,010.91 / $1,493.00	Professional		$613.38	$1,010.91	$1,493.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $608.58 / $1,112.33 / $8,316.01	Facility		$608.58	$1,112.33	$8,316.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.03 / $1,092.74 / $2,689.31	Professional		$611.03	$1,092.74	$2,689.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $401.75 / $1,078.74	Professional		$82.48	$401.75	$1,078.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $716.57 / $951.40 / $989.59	Facility		$716.57	$951.40	$989.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $652.77 / $674.99 / $1,481.16	Facility		$652.77	$674.99	$1,481.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $694.78 / $1,125.92 / $1,384.39	Professional		$694.78	$1,125.92	$1,384.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,069.92 / $9,804.29 / $18,754.53	Facility		$7,069.92	$9,804.29	$18,754.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $665.74 / $967.72 / $1,307.88	Professional		$665.74	$967.72	$1,307.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $6,594.00 / $11,941.00	Facility		$2,155.00	$6,594.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $624.41 / $994.00 / $1,405.79	Professional		$624.41	$994.00	$1,405.79