Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $973.31 / $3,113.21 / $4,928.67	Facility		$973.31	$3,113.21	$4,928.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.85 / $483.20 / $483.20	Professional		$365.85	$483.20	$483.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $724.80 / $1,104.46 / $2,416.02	Facility		$724.80	$1,104.46	$2,416.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $621.26 / $1,434.25 / $5,177.18	Professional		$621.26	$1,434.25	$5,177.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $717.90 / $1,467.35 / $1,782.42	Facility		$717.90	$1,467.35	$1,782.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $621.26 / $690.29 / $1,725.72	Facility		$621.26	$690.29	$1,725.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.26 / $690.29 / $1,725.72	Professional		$621.26	$690.29	$1,725.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $621.26 / $759.32 / $1,208.01	Facility		$621.26	$759.32	$1,208.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.29 / $1,208.01 / $2,070.87	Facility		$690.29	$1,208.01	$2,070.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $621.26 / $862.86 / $1,042.33	Professional		$621.26	$862.86	$1,042.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $724.80 / $1,104.46 / $1,898.30	Facility		$724.80	$1,104.46	$1,898.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $763.46 / $1,343.55 / $1,605.28	Professional		$763.46	$1,343.55	$1,605.28
United Facility/Professional Professional Modifier Low / Median / High Price $289.92 / $289.92 / $773.12	Professional		$289.92	$289.92	$773.12