Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $1,155.07 / $1,205.95	Facility		$508.84	$1,155.07	$1,205.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.91 / $508.84 / $880.29	Professional		$478.91	$508.84	$880.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $446.88 / $644.47 / $1,430.02	Facility		$446.88	$644.47	$1,430.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $520.84 / $578.71 / $2,693.88	Professional		$520.84	$578.71	$2,693.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.84 / $508.84 / $1,017.68	Facility		$508.84	$508.84	$1,017.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.84 / $508.84 / $508.84	Professional		$508.84	$508.84	$508.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $528.79 / $1,243.73 / $4,838.52	Facility		$528.79	$1,243.73	$4,838.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.71 / $578.71 / $578.71	Professional		$578.71	$578.71	$578.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $75.00	Professional		$30.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $578.71 / $578.71 / $79,999.20	Facility		$578.71	$578.71	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $423.04 / $615.29 / $1,023.36	Facility		$423.04	$615.29	$1,023.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.71 / $568.71 / $568.71	Professional		$568.71	$568.71	$568.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $446.88 / $578.71 / $1,025.86	Facility		$446.88	$578.71	$1,025.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $528.79 / $578.71 / $601.86	Professional		$528.79	$578.71	$601.86
United Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $498.87 / $598.64	Professional		$498.87	$498.87	$598.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $498.87 / $578.71 / $578.71	Professional		$498.87	$578.71	$578.71