Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.51 / $620.90 / $13,750.00	Facility		$290.51	$620.90	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.11 / $239.24 / $476.99	Professional		$128.11	$239.24	$476.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,080.42 / $4,321.81 / $11,500.00	Facility		$1,080.42	$4,321.81	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $457.83 / $1,621.92	Professional		$278.89	$457.83	$1,621.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $934.63 / $934.63 / $1,557.08	Facility		$934.63	$934.63	$1,557.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.25 / $405.89 / $671.27	Professional		$227.25	$405.89	$671.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $203.71 / $370.87 / $1,381.54	Facility		$203.71	$370.87	$1,381.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.71 / $359.59 / $722.14	Professional		$203.71	$359.59	$722.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.38 / $168.84 / $470.96	Professional		$37.38	$168.84	$470.96
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.29 / $414.06 / $450.84	Facility		$259.29	$414.06	$450.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.33 / $301.16 / $541.04	Facility		$300.33	$301.16	$541.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.36 / $385.34 / $560.37	Professional		$264.36	$385.34	$560.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,319.34 / $8,267.12	Facility		$3,153.55	$4,319.34	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $260.60 / $358.49 / $510.07	Professional		$260.60	$358.49	$510.07
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $271.92 / $449.88 / $641.09	Professional		$271.92	$449.88	$641.09