Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.60 / $779.01 / $10,122.46	Facility		$369.60	$779.01	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.21 / $304.70 / $680.80	Professional		$177.21	$304.70	$680.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,435.80 / $4,321.81 / $11,500.00	Facility		$1,435.80	$4,321.81	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $370.87 / $582.62 / $2,065.84	Professional		$370.87	$582.62	$2,065.84
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 $314.13 / $516.01 / $849.57	Professional		$314.13	$516.01	$849.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $266.89 / $484.33 / $1,381.54	Facility		$266.89	$484.33	$1,381.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.38 / $467.54 / $832.63	Professional		$270.38	$467.54	$832.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $233.34 / $638.79	Professional		$39.53	$233.34	$638.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $328.40 / $526.62 / $569.84	Facility		$328.40	$526.62	$569.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.07 / $382.97 / $541.04	Facility		$380.07	$382.97	$541.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.72 / $502.32 / $705.09	Professional		$351.72	$502.32	$705.09
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 $346.72 / $474.75 / $648.61	Professional		$346.72	$474.75	$648.61
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 $351.52 / $594.40 / $800.85	Professional		$351.52	$594.40	$800.85