Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.54 / $1,060.89 / $17,930.00	Facility		$587.54	$1,060.89	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.73 / $556.04 / $1,056.48	Professional		$322.73	$556.04	$1,056.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $222.29 / $6,207.20 / $12,667.56	Facility		$222.29	$6,207.20	$12,667.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $519.75 / $906.01 / $3,127.05	Professional		$519.75	$906.01	$3,127.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.81 / $488.81 / $488.81	Facility		$488.81	$488.81	$488.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $386.76 / $627.46 / $1,185.77	Professional		$386.76	$627.46	$1,185.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $249.38 / $520.74 / $989.55	Facility		$249.38	$520.74	$989.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $250.93 / $542.80 / $974.03	Professional		$250.93	$542.80	$974.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $194.48 / $719.39	Professional		$38.52	$194.48	$719.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $500.23 / $723.12 / $775.19	Facility		$500.23	$723.12	$775.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.29 / $509.63 / $528.75	Facility		$222.29	$509.63	$528.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.75 / $827.26 / $1,031.03	Professional		$528.75	$827.26	$1,031.03
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $493.42 / $740.63 / $974.05	Professional		$493.42	$740.63	$974.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.08 / $579.02 / $1,085.03	Professional		$431.08	$579.02	$1,085.03