Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.98 / $1,089.65 / $1,641.82	Facility		$533.98	$1,089.65	$1,641.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.00 / $533.98 / $923.79	Professional		$417.00	$533.98	$923.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $692.85 / $1,665.78 / $3,743.02	Facility		$692.85	$1,665.78	$3,743.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $561.61 / $710.00 / $4,332.34	Professional		$561.61	$710.00	$4,332.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.24 / $488.53 / $488.53	Facility		$287.24	$488.53	$488.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $356.63 / $629.79	Professional		$356.63	$356.63	$629.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.56 / $817.24 / $2,168.21	Facility		$478.56	$817.24	$2,168.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $505.92 / $831.01 / $1,530.87	Professional		$505.92	$831.01	$1,530.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $606.58 / $667.23	Professional		$60.66	$606.58	$667.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $628.08 / $744.64 / $791.26	Facility		$628.08	$744.64	$791.26
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $712.13 / $791.26 / $791.26	Professional		$712.13	$791.26	$791.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $692.85 / $888.62 / $1,545.42	Facility		$692.85	$888.62	$1,545.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $753.13 / $772.71 / $772.71	Facility		$753.13	$772.71	$772.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $628.58 / $672.57 / $870.39	Professional		$628.58	$672.57	$870.39
United Facility/Professional Professional Modifier Low / Median / High Price $356.56 / $426.77 / $686.39	Professional		$356.56	$426.77	$686.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.18 / $234.18 / $672.57	Professional		$234.18	$234.18	$672.57