Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.75 / $4,497.00 / $20,680.40	Facility		$72.75	$4,497.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $122.27 / $237.58	Professional		$54.55	$122.27	$237.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $130.79 / $222.88 / $234.66	Facility		$130.79	$222.88	$234.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $92.16 / $259.93 / $1,057.75	Professional		$92.16	$259.93	$1,057.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $172.06 / $428.45	Professional		$89.69	$172.06	$428.45
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $92.83 / $156.10 / $398.72	Facility		$92.83	$156.10	$398.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.20 / $156.10 / $403.26	Professional		$94.20	$156.10	$403.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.56 / $221.71 / $364.68	Professional		$34.56	$221.71	$364.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.02 / $261.02 / $320.93	Facility		$84.02	$261.02	$320.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.31 / $193.31 / $222.88	Facility		$193.31	$193.31	$222.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $169.01 / $377.54	Professional		$90.73	$169.01	$377.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $83.47 / $183.91 / $328.46	Professional		$83.47	$183.91	$328.46
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.20 / $303.89 / $451.13	Professional		$205.20	$303.89	$451.13