Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Facility		$408.00	$408.00	$408.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $408.00 / $408.00	Professional		$384.00	$408.00	$408.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $398.40 / $456.00 / $1,800.00	Facility		$398.40	$456.00	$1,800.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $1,824.00 / $2,160.00	Professional		$408.00	$1,824.00	$2,160.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.00 / $408.00 / $816.00	Facility		$408.00	$408.00	$816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $12.82 / $12.82	Professional		$12.82	$12.82	$12.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.40 / $398.40 / $408.00	Facility		$398.40	$398.40	$408.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $408.00 / $432.00	Professional		$369.60	$408.00	$432.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $480.00 / $576.00	Professional		$480.00	$480.00	$576.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $408.00 / $408.00	Professional		$408.00	$408.00	$408.00