Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.48 / $1,195.78 / $2,519.04	Facility		$180.48	$1,195.78	$2,519.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.96 / $180.48 / $186.24	Professional		$120.96	$180.48	$186.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $403.20 / $614.40 / $1,344.00	Facility		$403.20	$614.40	$1,344.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $750.16 / $2,880.00	Professional		$256.41	$750.16	$2,880.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.36 / $816.27 / $991.54	Facility		$399.36	$816.27	$991.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $345.60 / $384.00 / $960.00	Facility		$345.60	$384.00	$960.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.60 / $384.00 / $960.00	Professional		$345.60	$384.00	$960.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $384.00 / $537.60	Facility		$384.00	$384.00	$537.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $345.60 / $614.40 / $1,152.00	Facility		$345.60	$614.40	$1,152.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.04 / $460.80 / $579.84	Professional		$215.04	$460.80	$579.84
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $403.20 / $614.40 / $1,056.00	Facility		$403.20	$614.40	$1,056.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $256.41 / $645.80 / $876.46	Professional		$256.41	$645.80	$876.46
United Facility/Professional Professional Modifier Low / Median / High Price $80.64 / $83.09 / $384.00	Professional		$80.64	$83.09	$384.00