Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.72 / $2,291.00 / $18,711.00	Facility		$293.72	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $221.96 / $495.05	Professional		$159.18	$221.96	$495.05
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $243.12 / $4,289.00 / $12,000.00	Facility		$243.12	$4,289.00	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $254.14 / $389.69 / $1,665.00	Professional		$254.14	$389.69	$1,665.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $500.00 / $568.48	Facility		$466.83	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.70 / $323.20 / $538.59	Professional		$192.70	$323.20	$538.59
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $175.35 / $351.21 / $452.76	Facility		$175.35	$351.21	$452.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $175.22 / $351.21 / $455.60	Professional		$175.22	$351.21	$455.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.87 / $253.93 / $446.38	Professional		$44.87	$253.93	$446.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $261.17 / $348.35 / $359.72	Facility		$261.17	$348.35	$359.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.09 / $240.09 / $243.12	Facility		$240.09	$240.09	$243.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.33 / $392.20 / $482.58	Professional		$273.33	$392.20	$482.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,106.57 / $3,106.57 / $3,913.81	Facility		$3,106.57	$3,106.57	$3,913.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $244.86 / $346.05 / $466.00	Professional		$244.86	$346.05	$466.00
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $223.44 / $292.60 / $520.79	Professional		$223.44	$292.60	$520.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.15 / $147.15 / $189.15	Professional		$147.15	$147.15	$189.15