Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.76 / $10,700.00 / $22,024.00	Facility		$250.76	$10,700.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.15 / $250.76 / $273.13	Professional		$177.15	$250.76	$273.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $241.30 / $309.39 / $743.89	Facility		$241.30	$309.39	$743.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $281.36 / $478.95 / $1,518.90	Professional		$281.36	$478.95	$1,518.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $734.00 / $734.00 / $734.00	Facility		$734.00	$734.00	$734.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.62 / $277.62 / $277.62	Professional		$277.62	$277.62	$277.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $564.80 / $564.80 / $564.80	Professional		$564.80	$564.80	$564.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $209.71 / $312.63 / $353.76	Facility		$209.71	$312.63	$353.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.30 / $309.39 / $309.39	Facility		$241.30	$309.39	$309.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.20 / $415.75 / $554.62	Professional		$282.20	$415.75	$554.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $281.36 / $330.78 / $495.97	Professional		$281.36	$330.78	$495.97
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.27 / $382.09 / $596.29	Professional		$287.27	$382.09	$596.29