Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.62 / $501.01 / $17,930.00	Facility		$273.62	$501.01	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $209.46 / $448.82	Professional		$159.97	$209.46	$448.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $815.92 / $8,859.76 / $16,947.71	Facility		$815.92	$8,859.76	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $443.43 / $2,741.00	Professional		$268.14	$443.43	$2,741.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.52 / $424.82 / $700.47	Professional		$215.52	$424.82	$700.47
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $212.20 / $361.29 / $2,679.56	Facility		$212.20	$361.29	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.36 / $348.75 / $738.75	Professional		$216.36	$348.75	$738.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $302.05 / $508.99	Professional		$47.53	$302.05	$508.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $243.22 / $377.89 / $466.99	Facility		$243.22	$377.89	$466.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.19 / $318.52 / $1,367.95	Facility		$316.19	$318.52	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $418.97 / $583.88	Professional		$289.02	$418.97	$583.88
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $271.18 / $389.93 / $539.48	Professional		$271.18	$389.93	$539.48
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 $249.06 / $471.85 / $675.85	Professional		$249.06	$471.85	$675.85