Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.67 / $948.26 / $7,984.74	Facility		$99.67	$948.26	$7,984.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $364.12 / $879.15	Professional		$72.72	$364.12	$879.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $513.21 / $665.10	Facility		$55.00	$513.21	$665.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $712.99 / $2,770.88	Professional		$136.96	$712.99	$2,770.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $531.41 / $1,166.29	Professional		$121.60	$531.41	$1,166.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.42 / $473.68 / $1,299.17	Facility		$120.42	$473.68	$1,299.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.69 / $473.68 / $1,299.17	Professional		$121.69	$473.68	$1,299.17
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 $153.66 / $751.74 / $1,016.39	Facility		$153.66	$751.74	$1,016.39
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.21 / $513.21 / $538.62	Facility		$513.21	$513.21	$538.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $251.29 / $1,018.67	Professional		$129.88	$251.29	$1,018.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.32 / $247.23 / $885.77	Professional		$123.32	$247.23	$885.77
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 $598.40 / $860.14 / $1,295.10	Professional		$598.40	$860.14	$1,295.10