Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.92 / $5,132.00 / $20,680.40	Facility		$1,015.92	$5,132.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.03 / $737.07 / $1,414.68	Professional		$469.03	$737.07	$1,414.68
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 $768.15 / $1,382.78 / $4,940.03	Professional		$768.15	$1,382.78	$4,940.03
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 $683.10 / $1,143.17 / $1,678.53	Professional		$683.10	$1,143.17	$1,678.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $680.69 / $1,172.16 / $8,316.01	Facility		$680.69	$1,172.16	$8,316.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $687.96 / $1,147.56 / $2,689.31	Professional		$687.96	$1,147.56	$2,689.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $660.52 / $1,256.49	Professional		$99.37	$660.52	$1,256.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $772.29 / $1,067.98 / $1,124.93	Facility		$772.29	$1,067.98	$1,124.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $752.43 / $767.30 / $1,481.16	Facility		$752.43	$767.30	$1,481.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.80 / $1,279.90 / $1,573.73	Professional		$789.80	$1,279.90	$1,573.73
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 $767.38 / $1,103.06 / $1,486.75	Professional		$767.38	$1,103.06	$1,486.75
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 $674.52 / $1,277.90 / $1,690.16	Professional		$674.52	$1,277.90	$1,690.16