Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.75 / $6,623.55 / $20,680.40	Facility		$146.75	$6,623.55	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $146.75 / $219.41	Professional		$134.13	$146.75	$219.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $134.74 / $190.37 / $338.40	Facility		$134.74	$190.37	$338.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $229.87 / $354.41 / $1,243.28	Professional		$229.87	$354.41	$1,243.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.99 / $223.99 / $223.99	Professional		$223.99	$223.99	$223.99
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $170.26 / $499.13	Facility		$56.85	$170.26	$499.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $435.80 / $435.80 / $435.80	Professional		$435.80	$435.80	$435.80
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 $233.79 / $273.60 / $285.42	Facility		$233.79	$273.60	$285.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.98 / $192.98 / $194.68	Facility		$192.98	$192.98	$194.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.84 / $324.74 / $399.29	Professional		$218.84	$324.74	$399.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $180.02 / $331.58	Facility		$132.41	$180.02	$331.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $248.69 / $282.72 / $382.63	Professional		$248.69	$282.72	$382.63
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.44 / $168.64 / $389.30	Professional		$153.44	$168.64	$389.30