Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.00 / $455.62 / $1,102.00	Facility		$188.00	$455.62	$1,102.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.00 / $194.00 / $487.95	Professional		$188.00	$194.00	$487.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $328.20 / $826.28	Facility		$210.00	$328.20	$826.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $197.18 / $415.89 / $1,500.00	Professional		$197.18	$415.89	$1,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.42 / $425.14 / $585.00	Facility		$201.42	$425.14	$585.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $224.34 / $283.10	Professional		$105.76	$224.34	$283.10
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $197.47 / $250.00 / $571.19	Facility		$197.47	$250.00	$571.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $294.00 / $553.34	Professional		$200.00	$294.00	$553.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $420.00	Facility		$200.00	$200.00	$420.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $360.00 / $600.00	Facility		$200.00	$360.00	$600.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $250.00 / $302.00	Professional		$180.00	$250.00	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $210.00 / $328.20 / $550.00	Facility		$210.00	$328.20	$550.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $221.20 / $389.25 / $465.17	Professional		$221.20	$389.25	$465.17
United Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $224.00	Professional		$84.00	$84.00	$224.00