Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.80 / $1,821.38 / $3,836.94	Facility		$549.80	$1,821.38	$3,836.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.49 / $549.80 / $567.35	Professional		$368.49	$549.80	$567.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $935.84 / $2,047.15	Facility		$614.15	$935.84	$2,047.15
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $1,215.83 / $4,386.75	Professional		$526.41	$1,215.83	$4,386.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.29 / $1,243.33 / $1,510.30	Facility		$608.29	$1,243.33	$1,510.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $526.41 / $584.90 / $1,462.25	Facility		$526.41	$584.90	$1,462.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $584.90 / $1,462.25	Professional		$526.41	$584.90	$1,462.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $584.90 / $818.86	Facility		$584.90	$584.90	$818.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $1,023.57 / $1,754.70	Facility		$584.90	$1,023.57	$1,754.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $731.13 / $883.20	Professional		$526.41	$731.13	$883.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $935.84 / $1,608.48	Facility		$614.15	$935.84	$1,608.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $646.90 / $1,079.44 / $1,432.58	Professional		$646.90	$1,079.44	$1,432.58
United Facility/Professional Facility Modifier Low / Median / High Price $555.66 / $584.90 / $584.90	Facility		$555.66	$584.90	$584.90
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $701.88	Professional		$245.66	$245.66	$701.88