Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $893.00 / $2,958.30 / $6,232.00	Facility		$893.00	$2,958.30	$6,232.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $598.50 / $893.00 / $921.50	Professional		$598.50	$893.00	$921.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $997.50 / $1,520.00 / $3,924.83	Facility		$997.50	$1,520.00	$3,924.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,945.93 / $7,125.00	Professional		$855.00	$1,945.93	$7,125.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $2,106.29 / $2,472.16	Facility		$988.00	$2,106.29	$2,472.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $950.00 / $1,615.00	Facility		$855.00	$950.00	$1,615.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $950.00 / $2,375.00	Professional		$855.00	$950.00	$2,375.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $1,045.00 / $1,662.50	Facility		$855.00	$1,045.00	$1,662.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,662.50 / $2,945.00	Facility		$950.00	$1,662.50	$2,945.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $1,187.50 / $1,434.50	Professional		$855.00	$1,187.50	$1,434.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $997.50 / $1,558.95 / $2,612.50	Facility		$997.50	$1,558.95	$2,612.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,050.70 / $1,848.63 / $2,209.00	Professional		$1,050.70	$1,848.63	$2,209.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $1,064.00	Professional		$399.00	$399.00	$1,064.00