Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.52 / $2,769.52 / $18,711.00	Facility		$57.52	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $48.03 / $81.87	Professional		$29.72	$48.03	$81.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $6,207.20 / $12,667.56	Facility		$55.00	$6,207.20	$12,667.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.28 / $83.25 / $285.44	Professional		$51.28	$83.25	$285.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $734.00	Facility		$734.00	$734.00	$734.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $58.29 / $114.92	Professional		$37.57	$58.29	$114.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.36 / $58.88 / $97.75	Facility		$41.36	$58.88	$97.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.52 / $60.49 / $96.26	Professional		$42.52	$60.49	$96.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $50.66 / $84.72	Professional		$9.44	$50.66	$84.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.72 / $71.18 / $76.38	Facility		$47.72	$71.18	$76.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.28 / $50.28 / $52.10	Facility		$50.28	$50.28	$52.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.09 / $75.62 / $96.81	Professional		$52.09	$75.62	$96.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,345.35 / $6,475.27 / $12,667.56	Facility		$1,345.35	$6,475.27	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $65.79 / $96.01	Professional		$43.43	$65.79	$96.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,224.00 / $1,862.00 / $10,522.00	Facility		$1,224.00	$1,862.00	$10,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $62.15 / $107.34	Professional		$48.84	$62.15	$107.34