Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.34 / $849.81 / $2,803.87	Facility		$478.34	$849.81	$2,803.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.85 / $508.87 / $681.00	Professional		$349.85	$508.87	$681.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $534.30 / $814.19 / $2,102.35	Facility		$534.30	$814.19	$2,102.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $457.98 / $994.47 / $3,816.53	Professional		$457.98	$994.47	$3,816.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.23 / $1,081.72 / $1,333.49	Facility		$529.23	$1,081.72	$1,333.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.63 / $537.98 / $694.20	Professional		$244.63	$537.98	$694.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $502.20 / $643.50 / $1,574.18	Facility		$502.20	$643.50	$1,574.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $748.04 / $1,408.36	Professional		$508.87	$748.04	$1,408.36
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 $508.87 / $508.87 / $1,068.63	Facility		$508.87	$508.87	$1,068.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $890.52 / $1,526.61	Facility		$508.87	$890.52	$1,526.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.98 / $636.09 / $768.39	Professional		$457.98	$636.09	$768.39
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $534.30 / $814.19 / $1,399.39	Facility		$534.30	$814.19	$1,399.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.80 / $989.98 / $1,183.45	Professional		$562.80	$989.98	$1,183.45
United Facility/Professional Professional Modifier Low / Median / High Price $213.73 / $213.73 / $569.92	Professional		$213.73	$213.73	$569.92