Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,500.00	Professional		$1,000.00	$1,000.00	$1,500.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $908.55 / $1,243.39 / $2,584.88	Facility		$908.55	$1,243.39	$2,584.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $1,608.76 / $1,608.76 / $4,787.60	Professional		$1,608.76	$1,608.76	$4,787.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $513.41 / $513.41	Facility		$513.41	$513.41	$513.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.06 / $116.06 / $116.06	Professional		$116.06	$116.06	$116.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $384.99 / $1,151.27 / $3,450.65	Facility		$384.99	$1,151.27	$3,450.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.36 / $321.36 / $321.36	Professional		$321.36	$321.36	$321.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $392.97 / $998.00 / $79,999.20	Facility		$392.97	$998.00	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Facility		$2,500.00	$2,500.00	$2,500.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,787.60 / $4,787.60 / $4,787.60	Professional		$4,787.60	$4,787.60	$4,787.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $892.79 / $1,168.81 / $2,235.80	Facility		$892.79	$1,168.81	$2,235.80