Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.76 / $4,500.00 / $20,680.40	Facility		$90.76	$4,500.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $90.76 / $148.46	Professional		$47.63	$90.76	$148.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $124.12 / $149.05 / $437.49	Facility		$124.12	$149.05	$437.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.52 / $215.83 / $843.23	Professional		$113.52	$215.83	$843.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.70 / $295.70 / $295.70	Professional		$295.70	$295.70	$295.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.08 / $72.29 / $78.70	Facility		$47.08	$72.29	$78.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.12 / $124.12 / $132.07	Facility		$124.12	$124.12	$132.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.52 / $194.43 / $262.14	Professional		$131.52	$194.43	$262.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.11 / $168.71 / $239.87	Professional		$125.11	$168.71	$239.87
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $123.68 / $228.82	Professional		$90.73	$123.68	$228.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.67 / $51.67 / $85.47	Professional		$51.67	$51.67	$85.47