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 $847.16 / $1,093.20 / $1,472.75	Facility		$847.16	$1,093.20	$1,472.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $289.26 / $475.19 / $1,728.30	Professional		$289.26	$475.19	$1,728.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.53 / $987.61 / $1,796.10	Facility		$456.53	$987.61	$1,796.10
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 $376.09 / $1,002.46 / $1,854.96	Facility		$376.09	$1,002.46	$1,854.96
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 $230.94 / $332.40 / $407.39	Facility		$230.94	$332.40	$407.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.35 / $274.20 / $414.81	Facility		$271.35	$274.20	$414.81
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 $832.47 / $1,089.83 / $2,084.75	Facility		$832.47	$1,089.83	$2,084.75
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 $319.75 / $416.94 / $1,026.72	Professional		$319.75	$416.94	$1,026.72