Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.56 / $135.56 / $135.56	Facility		$135.56	$135.56	$135.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $135.56 / $160.47	Professional		$94.00	$135.56	$160.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $249.09 / $470.81	Facility		$152.63	$249.09	$470.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $276.27 / $960.75	Professional		$161.24	$276.27	$960.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.40 / $499.40 / $499.40	Professional		$499.40	$499.40	$499.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $178.21 / $223.78	Facility		$119.58	$178.21	$223.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $152.63 / $167.16	Facility		$152.63	$152.63	$167.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.53 / $262.66 / $313.06	Professional		$168.53	$262.66	$313.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $219.57 / $295.76	Professional		$161.24	$219.57	$295.76
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 $194.11 / $278.77 / $441.40	Professional		$194.11	$278.77	$441.40