Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.76 / $1,451.52 / $2,777.04	Facility		$473.76	$1,451.52	$2,777.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $473.76 / $745.92	Professional		$302.39	$473.76	$745.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $529.20 / $827.06 / $2,394.00	Facility		$529.20	$827.06	$2,394.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $300.64 / $529.20 / $2,520.00	Professional		$300.64	$529.20	$2,520.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.10 / $1,071.34 / $1,644.30	Facility		$737.10	$1,071.34	$1,644.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.50 / $579.03 / $723.78	Professional		$312.50	$579.03	$723.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $497.24 / $630.00 / $1,438.30	Facility		$497.24	$630.00	$1,438.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $740.88 / $1,393.96	Professional		$504.00	$740.88	$1,393.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $358.84 / $486.21 / $534.83	Professional		$358.84	$486.21	$534.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $504.00 / $1,058.40	Facility		$504.00	$504.00	$1,058.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $504.00 / $756.00 / $1,386.00	Facility		$504.00	$756.00	$1,386.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.60 / $604.79 / $715.68	Professional		$453.60	$604.79	$715.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $529.20 / $827.06 / $1,386.00	Facility		$529.20	$827.06	$1,386.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $456.23 / $886.45 / $1,234.21	Professional		$456.23	$886.45	$1,234.21
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $211.68 / $564.48	Professional		$211.68	$211.68	$564.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $226.80 / $261.07	Professional		$226.80	$226.80	$261.07