Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $8,470.20 / $20,680.40	Facility		$699.00	$8,470.20	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.04 / $341.36 / $499.88	Professional		$207.04	$341.36	$499.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,097.30 / $1,848.86 / $3,405.45	Facility		$1,097.30	$1,848.86	$3,405.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $449.53 / $771.02 / $2,842.20	Professional		$449.53	$771.02	$2,842.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $787.12 / $787.12 / $787.12	Facility		$787.12	$787.12	$787.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $497.60 / $690.28 / $3,447.33	Facility		$497.60	$690.28	$3,447.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.71 / $530.33 / $996.53	Professional		$385.71	$530.33	$996.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $275.83 / $489.07 / $654.80	Facility		$275.83	$489.07	$654.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.77 / $440.77 / $445.12	Facility		$440.77	$440.77	$445.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.17 / $741.12 / $887.02	Professional		$458.17	$741.12	$887.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,359.85 / $1,848.86 / $3,405.45	Facility		$1,359.85	$1,848.86	$3,405.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $449.53 / $640.30 / $862.48	Professional		$449.53	$640.30	$862.48
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.73 / $584.40 / $940.39	Professional		$424.73	$584.40	$940.39