Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $1,162.86 / $1,593.07	Facility		$739.40	$1,162.86	$1,593.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $704.60 / $739.40 / $748.10	Professional		$704.60	$739.40	$748.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $711.72 / $751.26 / $2,965.50	Facility		$711.72	$751.26	$2,965.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $676.13 / $751.26 / $3,558.60	Professional		$676.13	$751.26	$3,558.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $739.40 / $1,344.36	Facility		$739.40	$739.40	$1,344.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $837.76 / $1,578.21 / $1,791.15	Facility		$837.76	$1,578.21	$1,791.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $837.76 / $1,555.51 / $1,989.00	Professional		$837.76	$1,555.51	$1,989.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $751.26 / $751.26 / $1,381.54	Facility		$751.26	$751.26	$1,381.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.26 / $751.26 / $751.26	Facility		$751.26	$751.26	$751.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $751.26 / $751.26 / $751.26	Professional		$751.26	$751.26	$751.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $751.26 / $751.26 / $751.26	Facility		$751.26	$751.26	$751.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $713.70 / $751.26 / $751.26	Professional		$713.70	$751.26	$751.26
United Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $143.00 / $698.75	Professional		$85.80	$143.00	$698.75