Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.47 / $559.49 / $4,617.60	Facility		$246.47	$559.49	$4,617.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $246.47 / $3,204.39	Professional		$90.07	$246.47	$3,204.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $204.90 / $2,170.19	Facility		$204.90	$204.90	$2,170.19
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $204.90 / $204.90 / $3,742.91	Professional		$204.90	$204.90	$3,742.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $287.08	Facility		$143.26	$143.26	$287.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $377.27 / $519.98 / $945.65	Facility		$377.27	$519.98	$945.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.27 / $569.75 / $958.99	Professional		$377.27	$569.75	$958.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $225.39	Professional		$75.00	$75.00	$225.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $204.90 / $371.18	Facility		$204.90	$204.90	$371.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $204.90 / $204.90	Facility		$204.90	$204.90	$204.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.90 / $204.90 / $204.90	Professional		$204.90	$204.90	$204.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $204.90 / $204.90	Facility		$204.90	$204.90	$204.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.66 / $204.90 / $204.90	Professional		$194.66	$204.90	$204.90
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,604.23	Professional		$2,170.19	$2,170.19	$2,604.23