Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.09 / $1,413.40 / $17,930.00	Facility		$754.09	$1,413.40	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.23 / $618.09 / $1,393.89	Professional		$376.23	$618.09	$1,393.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.03 / $10,956.90 / $20,959.32	Facility		$1,462.03	$10,956.90	$20,959.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $739.66 / $1,166.33 / $4,043.28	Professional		$739.66	$1,166.33	$4,043.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $642.00 / $642.00 / $3,759.09	Facility		$642.00	$642.00	$3,759.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.85 / $776.08 / $1,557.90	Professional		$462.85	$776.08	$1,557.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $509.28 / $954.94 / $2,787.60	Facility		$509.28	$954.94	$2,787.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.50 / $954.94 / $1,942.10	Professional		$511.50	$954.94	$1,942.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $299.09 / $1,010.90	Professional		$75.97	$299.09	$1,010.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $677.73 / $1,007.01 / $1,086.74	Facility		$677.73	$1,007.01	$1,086.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $725.25 / $725.25 / $940.61	Facility		$725.25	$725.25	$940.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.84 / $973.25 / $1,358.75	Professional		$663.84	$973.25	$1,358.75
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 $547.47 / $948.11 / $1,384.85	Professional		$547.47	$948.11	$1,384.85
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 $609.50 / $808.79 / $1,508.08	Professional		$609.50	$808.79	$1,508.08