Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $785.39 / $1,478.94 / $19,900.00	Facility		$785.39	$1,478.94	$19,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.76 / $654.32 / $1,180.64	Professional		$540.76	$654.32	$1,180.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $1,646.32 / $3,642.98	Facility		$276.02	$1,646.32	$3,642.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $692.54 / $1,230.41 / $4,212.00	Professional		$692.54	$1,230.41	$4,212.00
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $931.77 / $1,492.05 / $2,221.50	Professional	50	$931.77	$1,492.05	$2,221.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.00 / $479.00 / $644.34	Facility		$479.00	$479.00	$644.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.57 / $875.45 / $1,572.34	Professional		$516.57	$875.45	$1,572.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $328.72 / $763.50 / $1,295.42	Facility		$328.72	$763.50	$1,295.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.77 / $785.67 / $1,295.42	Professional		$330.77	$785.67	$1,295.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.95 / $973.49	Professional		$73.20	$287.95	$973.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $711.25 / $981.55 / $1,046.52	Facility		$711.25	$981.55	$1,046.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.02 / $679.05 / $701.04	Facility		$276.02	$679.05	$701.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.04 / $1,115.22 / $1,388.14	Professional		$701.04	$1,115.22	$1,388.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,195.59 / $1,646.32 / $3,151.02	Facility		$1,195.59	$1,646.32	$3,151.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $665.74 / $987.09 / $1,318.71	Professional		$665.74	$987.09	$1,318.71
United Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $648.00 / $4,611.00	Facility		$332.00	$648.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $615.29 / $836.54 / $1,406.40	Professional		$615.29	$836.54	$1,406.40