Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.73 / $2,706.32 / $4,869.29	Facility		$697.73	$2,706.32	$4,869.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.63 / $697.73 / $720.00	Professional		$467.63	$697.73	$720.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $779.38 / $1,187.63 / $3,066.61	Facility		$779.38	$1,187.63	$3,066.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $1,542.29 / $5,567.03	Professional		$742.27	$1,542.29	$5,567.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.97 / $1,577.85 / $1,916.65	Facility		$771.97	$1,577.85	$1,916.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $668.04 / $742.27 / $1,855.68	Facility		$668.04	$742.27	$1,855.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $742.27 / $1,855.68	Professional		$668.04	$742.27	$1,855.68
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 $668.04 / $816.50 / $1,298.97	Facility		$668.04	$816.50	$1,298.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.27 / $1,298.97 / $2,226.81	Facility		$742.27	$1,298.97	$2,226.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $668.04 / $927.84 / $1,120.83	Professional		$668.04	$927.84	$1,120.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $779.38 / $1,218.07 / $2,041.24	Facility		$779.38	$1,218.07	$2,041.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $854.09 / $1,450.00 / $1,817.70	Professional		$854.09	$1,450.00	$1,817.70
United Facility/Professional Professional Modifier Low / Median / High Price $311.75 / $311.75 / $831.34	Professional		$311.75	$311.75	$831.34