Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.62 / $838.34 / $18,711.00	Facility		$434.62	$838.34	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.97 / $374.89 / $762.39	Professional		$277.97	$374.89	$762.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,606.44 / $8,859.76 / $22,922.83	Facility		$2,606.44	$8,859.76	$22,922.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $501.79 / $833.19 / $3,031.43	Professional		$501.79	$833.19	$3,031.43
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 $399.31 / $697.24 / $1,097.88	Professional		$399.31	$697.24	$1,097.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $364.49 / $649.60 / $2,679.56	Facility		$364.49	$649.60	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.26 / $642.08 / $1,139.06	Professional		$380.26	$642.08	$1,139.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.15 / $398.84 / $836.38	Professional		$70.15	$398.84	$836.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $435.08 / $613.04 / $735.66	Facility		$435.08	$613.04	$735.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $495.13 / $501.79 / $1,367.95	Facility		$495.13	$501.79	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.79 / $752.13 / $961.98	Professional		$501.79	$752.13	$961.98
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 $489.51 / $674.72 / $898.05	Professional		$489.51	$674.72	$898.05
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 $430.55 / $772.08 / $1,057.21	Professional		$430.55	$772.08	$1,057.21