Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.47 / $1,096.00 / $11,522.02	Facility		$149.47	$1,096.00	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $318.63 / $1,131.64	Professional		$77.31	$318.63	$1,131.64
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $521.44 / $613.65	Facility		$55.00	$521.44	$613.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $722.86 / $2,816.00	Professional		$145.44	$722.86	$2,816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $539.95 / $1,184.56	Professional		$129.68	$539.95	$1,184.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $480.19 / $1,352.96	Facility		$122.00	$480.19	$1,352.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $480.19 / $1,335.75	Professional		$129.44	$480.19	$1,335.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $609.01 / $1,001.16	Professional		$95.52	$609.01	$1,001.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $164.82 / $729.84 / $1,030.46	Facility		$164.82	$729.84	$1,030.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.44 / $521.44 / $544.51	Facility		$521.44	$521.44	$544.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $266.86 / $1,035.00	Professional		$137.93	$266.86	$1,035.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $130.86 / $265.91 / $901.79	Professional		$130.86	$265.91	$901.79
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 $615.12 / $872.74 / $1,331.29	Professional		$615.12	$872.74	$1,331.29