Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.43 / $863.49 / $1,924.93	Professional		$851.43	$863.49	$1,924.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $151.57 / $8,011.55 / $8,011.55	Facility		$151.57	$8,011.55	$8,011.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $961.46 / $1,306.29 / $1,901.25	Professional		$961.46	$1,306.29	$1,901.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,116.58	Facility		$1,116.58	$1,116.58	$1,116.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $1,465.53	Professional		$949.10	$1,116.58	$1,465.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,702.86 / $1,702.86 / $1,702.86	Facility		$1,702.86	$1,702.86	$1,702.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,702.86 / $1,702.86 / $1,702.86	Professional		$1,702.86	$1,702.86	$1,702.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,571.58 / $1,746.21 / $1,972.38	Professional		$1,571.58	$1,746.21	$1,972.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,613.77 / $1,702.86 / $1,873.15	Facility		$1,613.77	$1,702.86	$1,873.15
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,532.57 / $1,702.86 / $1,793.08	Professional		$1,532.57	$1,702.86	$1,793.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.57 / $1,515.69 / $1,515.69	Facility		$151.57	$1,515.69	$1,515.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.37 / $1,563.91 / $3,056.14	Professional		$160.37	$1,563.91	$3,056.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,653.26 / $1,653.26 / $1,653.26	Facility		$1,653.26	$1,653.26	$1,653.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $127.17 / $127.17 / $154.84	Professional		$127.17	$127.17	$154.84
United Facility/Professional Professional Modifier Low / Median / High Price $738.40 / $859.28 / $1,651.97	Professional		$738.40	$859.28	$1,651.97