Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.12 / $1,077.50 / $17,930.00	Facility		$485.12	$1,077.50	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.89 / $445.47 / $979.89	Professional		$335.89	$445.47	$979.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,207.05 / $8,859.76 / $22,922.83	Facility		$2,207.05	$8,859.76	$22,922.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $600.60 / $998.30 / $3,410.10	Professional		$600.60	$998.30	$3,410.10
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 $466.65 / $825.88 / $1,303.68	Professional		$466.65	$825.88	$1,303.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $458.38 / $778.31 / $2,679.56	Facility		$458.38	$778.31	$2,679.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $462.59 / $766.72 / $1,348.12	Professional		$462.59	$766.72	$1,348.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $406.17 / $903.10	Professional		$70.18	$406.17	$903.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $532.95 / $741.00 / $882.39	Facility		$532.95	$741.00	$882.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.90 / $601.87 / $1,367.95	Facility		$588.90	$601.87	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.87 / $902.15 / $1,155.98	Professional		$601.87	$902.15	$1,155.98
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 $545.90 / $809.30 / $1,079.16	Professional		$545.90	$809.30	$1,079.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $4,818.00 / $10,522.00	Facility		$1,550.00	$4,818.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $501.00 / $925.09 / $1,266.74	Professional		$501.00	$925.09	$1,266.74