Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.99 / $2,769.52 / $18,711.00	Facility		$636.99	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.12 / $461.88 / $944.00	Professional		$342.12	$461.88	$944.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $5,968.10 / $9,879.37 / $18,898.13	Facility		$5,968.10	$9,879.37	$18,898.13
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $479.91 / $811.33 / $5,174.55	Professional		$479.91	$811.33	$5,174.55
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 $446.55 / $716.77 / $1,059.39	Professional		$446.55	$716.77	$1,059.39
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $430.43 / $778.65 / $5,967.13	Facility		$430.43	$778.65	$5,967.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $431.34 / $766.83 / $2,641.65	Professional		$431.34	$766.83	$2,641.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.74 / $486.60 / $869.14	Professional		$65.74	$486.60	$869.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $509.21 / $669.33 / $704.17	Facility		$509.21	$669.33	$704.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $461.61 / $478.02 / $1,470.05	Facility		$461.61	$478.02	$1,470.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $492.04 / $795.89 / $980.42	Professional		$492.04	$795.89	$980.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,079.47 / $9,873.73 / $18,898.13	Facility		$6,079.47	$9,873.73	$18,898.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $470.78 / $685.05 / $926.23	Professional		$470.78	$685.05	$926.23
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 $439.57 / $726.26 / $994.47	Professional		$439.57	$726.26	$994.47