Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.13 / $3,027.49 / $14,464.32	Facility		$97.13	$3,027.49	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $1,077.49 / $2,399.94	Professional		$65.81	$1,077.49	$2,399.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,491.65 / $2,791.58 / $5,488.32	Facility		$1,491.65	$2,791.58	$5,488.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $2,311.23 / $8,851.89	Professional		$82.94	$2,311.23	$8,851.89
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $103.86 / $231.00 / $3,689.84	Professional	50	$103.86	$231.00	$3,689.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $642.00	Facility		$642.00	$642.00	$642.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $1,009.09 / $3,314.11	Professional		$66.45	$1,009.09	$3,314.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.61 / $1,353.77 / $3,494.31	Facility		$85.61	$1,353.77	$3,494.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $1,259.53 / $3,548.30	Professional		$85.61	$1,259.53	$3,548.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $349.17 / $1,915.89 / $3,382.62	Professional		$349.17	$1,915.89	$3,382.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $134.30 / $2,186.88 / $2,701.64	Facility		$134.30	$2,186.88	$2,701.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $352.46 / $1,849.15 / $1,849.15	Facility		$352.46	$1,849.15	$1,849.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $175.50 / $3,150.19	Professional		$78.14	$175.50	$3,150.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,093.56 / $2,867.49 / $5,488.32	Facility		$2,093.56	$2,867.49	$5,488.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $181.76 / $3,001.29	Professional		$71.61	$181.76	$3,001.29
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,050.00 / $6,857.00	Facility		$500.00	$1,050.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,671.60 / $2,102.64 / $3,820.82	Professional		$1,671.60	$2,102.64	$3,820.82