Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.97 / $1,848.65 / $2,926.69	Facility		$577.97	$1,848.65	$2,926.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.39 / $318.82 / $397.60	Professional		$241.39	$318.82	$397.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $430.40 / $655.84 / $1,693.46	Facility		$430.40	$655.84	$1,693.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $387.13 / $851.85 / $3,074.25	Professional		$387.13	$851.85	$3,074.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.30 / $871.34 / $1,058.43	Facility		$426.30	$871.34	$1,058.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $368.91 / $409.90 / $1,024.75	Facility		$368.91	$409.90	$1,024.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.91 / $409.90 / $1,024.75	Professional		$368.91	$409.90	$1,024.75
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 $368.91 / $450.89 / $717.33	Facility		$368.91	$450.89	$717.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $717.32 / $1,229.70	Facility		$409.90	$717.32	$1,229.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.91 / $512.38 / $618.95	Professional		$368.91	$512.38	$618.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $430.40 / $672.65 / $1,127.23	Facility		$430.40	$672.65	$1,127.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $453.35 / $797.37 / $952.79	Professional		$453.35	$797.37	$952.79
United Facility/Professional Professional Modifier Low / Median / High Price $172.16 / $191.29 / $459.09	Professional		$172.16	$191.29	$459.09