Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.83 / $5,116.62 / $18,800.00	Facility		$469.83	$5,116.62	$18,800.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.68 / $300.66 / $637.21	Professional		$221.68	$300.66	$637.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $343.83 / $8,854.69 / $16,947.71	Facility		$343.83	$8,854.69	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $355.56 / $601.02 / $2,806.88	Professional		$355.56	$601.02	$2,806.88
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 $304.89 / $528.67 / $773.63	Professional		$304.89	$528.67	$773.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $312.18 / $557.37 / $5,198.37	Facility		$312.18	$557.37	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $318.36 / $523.46 / $2,671.90	Professional		$318.36	$523.46	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $371.63 / $637.51	Professional		$58.10	$371.63	$637.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $358.68 / $473.69 / $513.89	Facility		$358.68	$473.69	$513.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.83 / $350.52 / $1,367.95	Facility		$343.83	$350.52	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.80 / $584.67 / $718.91	Professional		$360.80	$584.67	$718.91
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 $350.66 / $504.22 / $679.18	Professional		$350.66	$504.22	$679.18
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 $318.56 / $551.12 / $727.26	Professional		$318.56	$551.12	$727.26