Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $444.00 / $1,653.00	Facility		$138.29	$444.00	$1,653.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $282.00 / $444.00	Professional		$66.20	$282.00	$444.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $480.00 / $1,239.42	Facility		$300.00	$480.00	$1,239.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $147.88 / $557.54 / $2,250.00	Professional		$147.88	$557.54	$2,250.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.13 / $614.25 / $780.00	Facility		$302.13	$614.25	$780.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.59 / $317.11 / $409.19	Professional		$151.59	$317.11	$409.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $296.05 / $378.90 / $856.34	Facility		$296.05	$378.90	$856.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $441.00 / $830.01	Professional		$300.00	$441.00	$830.01
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 $300.00 / $300.00 / $630.00	Facility		$300.00	$300.00	$630.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $480.00 / $900.00	Facility		$270.00	$480.00	$900.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $375.00 / $453.00	Professional		$270.00	$375.00	$453.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $315.00 / $492.30 / $825.00	Facility		$315.00	$492.30	$825.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.80 / $583.89 / $697.37	Professional		$331.80	$583.89	$697.37
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $360.00 / $360.00	Facility		$300.00	$360.00	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $126.00 / $336.00	Professional		$36.79	$126.00	$336.00