Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,261.55 / $4,011.00 / $18,711.00	Facility		$1,261.55	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $606.83 / $841.23 / $1,901.31	Professional		$606.83	$841.23	$1,901.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $954.22 / $18,867.00 / $36,111.08	Facility		$954.22	$18,867.00	$36,111.08
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $982.20 / $1,584.95 / $6,253.13	Professional		$982.20	$1,584.95	$6,253.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $684.62 / $1,230.04 / $2,075.92	Professional		$684.62	$1,230.04	$2,075.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $646.66 / $1,372.25 / $7,259.32	Facility		$646.66	$1,372.25	$7,259.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $646.66 / $1,312.72 / $5,965.41	Professional		$646.66	$1,312.72	$5,965.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $670.31 / $1,463.21	Professional		$92.81	$670.31	$1,463.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $953.98 / $1,303.04 / $1,398.96	Facility		$953.98	$1,303.04	$1,398.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $915.06 / $915.06 / $954.22	Facility		$915.06	$915.06	$954.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,070.25 / $1,517.98 / $1,894.02	Professional		$1,070.25	$1,517.98	$1,894.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,241.40 / $18,867.00 / $36,111.08	Facility		$12,241.40	$18,867.00	$36,111.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $933.24 / $1,358.21 / $1,833.04	Professional		$933.24	$1,358.21	$1,833.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $4,016.00 / $16,315.00	Facility		$2,912.00	$4,016.00	$16,315.00
United Facility/Professional Professional Modifier Low / Median / High Price $776.97 / $1,071.95 / $1,978.85	Professional		$776.97	$1,071.95	$1,978.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $570.63 / $570.63 / $726.80	Professional		$570.63	$570.63	$726.80