Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.25 / $2,475.63 / $5,215.20	Facility		$755.25	$2,475.63	$5,215.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.85 / $747.30 / $771.15	Professional		$500.85	$747.30	$771.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $834.75 / $1,272.00 / $2,782.50	Facility		$834.75	$1,272.00	$2,782.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $715.50 / $1,959.35 / $5,962.50	Professional		$715.50	$1,959.35	$5,962.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $826.80 / $1,689.93 / $2,052.79	Facility		$826.80	$1,689.93	$2,052.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $715.50 / $795.00 / $1,987.50	Facility		$715.50	$795.00	$1,987.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.50 / $795.00 / $1,987.50	Professional		$715.50	$795.00	$1,987.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $1,113.00	Facility		$795.00	$795.00	$1,113.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $1,383.30 / $2,385.00	Facility		$795.00	$1,383.30	$2,385.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.50 / $993.75 / $1,200.45	Professional		$715.50	$993.75	$1,200.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $834.75 / $1,272.00 / $2,186.25	Facility		$834.75	$1,272.00	$2,186.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $879.27 / $1,553.35 / $1,947.18	Professional		$879.27	$1,553.35	$1,947.18
United Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $333.90 / $954.00	Professional		$333.90	$333.90	$954.00