Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.77 / $1,145.17 / $2,188.09	Facility		$391.77	$1,145.17	$2,188.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.88 / $391.77 / $857.58	Professional		$220.88	$391.77	$857.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $437.62 / $666.85 / $1,721.88	Facility		$437.62	$666.85	$1,721.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $375.17 / $853.52 / $3,125.85	Professional		$375.17	$853.52	$3,125.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $383.94 / $755.88 / $1,219.09	Facility		$383.94	$755.88	$1,219.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.05 / $467.40 / $604.37	Professional		$260.05	$467.40	$604.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $612.66 / $1,289.50	Facility		$416.78	$612.66	$1,289.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $737.10 / $1,289.50	Professional		$416.78	$737.10	$1,289.50
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 $416.78 / $416.78 / $875.24	Facility		$416.78	$416.78	$875.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $729.37 / $1,292.02	Facility		$416.78	$729.37	$1,292.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $520.97 / $629.34	Professional		$375.10	$520.97	$629.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $437.62 / $687.69 / $1,146.15	Facility		$437.62	$687.69	$1,146.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $485.96 / $810.84 / $969.05	Professional		$485.96	$810.84	$969.05
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $240.12 / $466.79	Professional		$175.05	$240.12	$466.79