Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.92 / $1,382.27 / $1,443.16	Facility		$608.92	$1,382.27	$1,443.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.06 / $608.92 / $1,443.16	Professional		$396.06	$608.92	$1,443.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $820.49 / $1,692.86 / $4,062.38	Facility		$820.49	$1,692.86	$4,062.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $882.72 / $6,680.85	Professional		$600.00	$882.72	$6,680.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $703.94 / $703.94 / $703.94	Facility		$703.94	$703.94	$703.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $598.35 / $598.35 / $703.94	Professional		$598.35	$598.35	$703.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $498.22 / $937.02 / $2,267.81	Facility		$498.22	$937.02	$2,267.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $498.77 / $911.97 / $1,680.65	Professional		$498.77	$911.97	$1,680.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $646.50 / $718.34 / $790.17	Professional		$646.50	$718.34	$790.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $773.54 / $915.06 / $937.02	Facility		$773.54	$915.06	$937.02
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $626.75 / $626.75 / $626.75	Professional		$626.75	$626.75	$626.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $820.49 / $1,052.32 / $1,830.12	Facility		$820.49	$1,052.32	$1,830.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $891.87 / $915.06 / $915.06	Facility		$891.87	$915.06	$915.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $684.02 / $1,030.72 / $1,030.72	Professional		$684.02	$1,030.72	$1,030.72
United Facility/Professional Professional Modifier Low / Median / High Price $395.18 / $595.41 / $753.94	Professional		$395.18	$595.41	$753.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $420.62 / $420.62 / $796.47	Professional		$420.62	$420.62	$796.47