Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $926.31 / $6,470.00 / $22,024.00	Facility		$926.31	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.83 / $757.30 / $1,450.29	Professional		$429.83	$757.30	$1,450.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $24,231.69	Facility		$1,462.03	$10,956.90	$24,231.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $687.69 / $1,168.95 / $6,848.00	Professional		$687.69	$1,168.95	$6,848.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.00 / $1,031.00 / $3,759.09	Facility		$1,031.00	$1,031.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.75 / $803.40 / $1,548.31	Professional		$507.75	$803.40	$1,548.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $615.41 / $1,234.79 / $3,376.68	Facility		$615.41	$1,234.79	$3,376.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $615.41 / $1,167.39 / $2,787.60	Professional		$615.41	$1,167.39	$2,787.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $287.23 / $995.90	Professional		$73.20	$287.23	$995.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $698.65 / $960.11 / $1,003.66	Facility		$698.65	$960.11	$1,003.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $661.83 / $661.83 / $803.10	Facility		$661.83	$661.83	$803.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.66 / $1,129.18 / $1,358.84	Professional		$704.66	$1,129.18	$1,358.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,105.06 / $10,950.64 / $20,959.32	Facility		$7,105.06	$10,950.64	$20,959.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $674.98 / $984.79 / $1,326.48	Professional		$674.98	$984.79	$1,326.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $2,155.00 / $11,941.00	Facility		$1,620.00	$2,155.00	$11,941.00
United Facility/Professional Professional Modifier Low / Median / High Price $602.99 / $773.82 / $1,416.15	Professional		$602.99	$773.82	$1,416.15