Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.78 / $1,709.35 / $19,900.00	Facility		$911.78	$1,709.35	$19,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.98 / $808.70 / $1,468.03	Professional		$459.98	$808.70	$1,468.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $630.59 / $906.65 / $9,102.00	Facility		$630.59	$906.65	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $808.50 / $1,411.95 / $4,865.78	Professional		$808.50	$1,411.95	$4,865.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.24 / $379.24 / $479.00	Facility		$379.24	$379.24	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.54 / $976.18 / $1,835.91	Professional		$596.54	$976.18	$1,835.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.47 / $777.59 / $1,454.58	Facility		$193.47	$777.59	$1,454.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.69 / $807.98 / $1,479.17	Professional		$194.69	$807.98	$1,479.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $364.63 / $1,180.77	Professional		$78.02	$364.63	$1,180.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $737.70 / $1,108.92 / $1,200.64	Facility		$737.70	$1,108.92	$1,200.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.45 / $792.75 / $818.94	Facility		$262.45	$792.75	$818.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $818.94 / $1,288.96 / $1,605.59	Professional		$818.94	$1,288.96	$1,605.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $630.59 / $846.81 / $1,579.18	Facility		$630.59	$846.81	$1,579.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $771.54 / $1,149.14 / $1,516.86	Professional		$771.54	$1,149.14	$1,516.86
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $697.47 / $933.64 / $1,682.99	Professional		$697.47	$933.64	$1,682.99