Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $2,700.82 / $7,889.66	Facility		$140.72	$2,700.82	$7,889.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $115.68 / $290.00	Professional		$93.43	$115.68	$290.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $137.26 / $8,854.69 / $16,947.71	Facility		$137.26	$8,854.69	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $145.35 / $241.82 / $1,500.00	Professional		$145.35	$241.82	$1,500.00
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 $131.28 / $208.11 / $305.30	Professional		$131.28	$208.11	$305.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $125.46 / $227.26 / $5,198.37	Facility		$125.46	$227.26	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.58 / $219.76 / $2,671.90	Professional		$131.58	$219.76	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $208.07 / $343.04	Professional		$32.38	$208.07	$343.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.87 / $193.79 / $207.03	Facility		$144.87	$193.79	$207.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.26 / $141.21 / $1,367.95	Facility		$137.26	$141.21	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.25 / $235.55 / $289.63	Professional		$148.25	$235.55	$289.63
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 $139.99 / $203.14 / $273.62	Professional		$139.99	$203.14	$273.62
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 $132.00 / $216.46 / $297.00	Professional		$132.00	$216.46	$297.00