Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.04 / $4,011.00 / $18,711.00	Facility		$949.04	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $432.01 / $645.50 / $1,407.84	Professional		$432.01	$645.50	$1,407.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,827.48 / $5,471.61 / $12,100.72	Facility		$1,827.48	$5,471.61	$12,100.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $743.23 / $1,182.10 / $4,740.75	Professional		$743.23	$1,182.10	$4,740.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $625.25 / $761.81 / $2,190.81	Facility		$625.25	$761.81	$2,190.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.70 / $925.34 / $1,580.24	Professional		$500.70	$925.34	$1,580.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $445.47 / $924.45 / $1,921.26	Facility		$445.47	$924.45	$1,921.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.47 / $904.55 / $1,654.39	Professional		$445.47	$904.55	$1,654.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.38 / $528.38 / $1,162.68	Professional		$89.38	$528.38	$1,162.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $608.09 / $965.47 / $1,058.59	Facility		$608.09	$965.47	$1,058.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $598.07 / $691.73 / $1,795.87	Facility		$598.07	$691.73	$1,795.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.01 / $1,148.66 / $1,433.22	Professional		$801.01	$1,148.66	$1,433.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,913.81 / $5,468.48 / $10,466.57	Facility		$3,913.81	$5,468.48	$10,466.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $705.47 / $1,027.76 / $1,368.28	Professional		$705.47	$1,027.76	$1,368.28
United Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,681.00 / $6,857.00	Facility		$555.00	$1,681.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.61 / $835.78 / $1,489.73	Professional		$534.61	$835.78	$1,489.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $439.78 / $439.78 / $569.79	Professional		$439.78	$439.78	$569.79