Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.25 / $223.25 / $223.25	Facility		$223.25	$223.25	$223.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.23 / $223.25 / $371.00	Professional		$174.23	$223.25	$371.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $539.78 / $762.72 / $2,489.36	Facility		$539.78	$762.72	$2,489.36
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $474.17 / $1,728.30	Professional		$288.00	$474.17	$1,728.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.58 / $629.27 / $1,144.41	Facility		$308.58	$629.27	$1,144.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.48 / $315.48 / $315.48	Professional		$315.48	$315.48	$315.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $235.00 / $635.38 / $1,159.63	Facility		$235.00	$635.38	$1,159.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $917.71 / $917.71 / $917.71	Professional		$917.71	$917.71	$917.71
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 $144.37 / $228.57 / $395.21	Facility		$144.37	$228.57	$395.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.19 / $271.35 / $274.20	Facility		$259.19	$271.35	$274.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.42 / $464.40 / $562.38	Professional		$303.42	$464.40	$562.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $530.41 / $694.41 / $1,328.33	Facility		$530.41	$694.41	$1,328.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $390.00 / $515.40	Professional		$277.20	$390.00	$515.40
United Facility/Professional Professional Modifier Low / Median / High Price $199.74 / $254.09 / $641.36	Professional		$199.74	$254.09	$641.36