Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $1,223.94 / $13,750.00	Facility		$77.83	$1,223.94	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $247.16 / $700.11	Professional		$38.39	$247.16	$700.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $107.02 / $428.99	Facility		$55.00	$107.02	$428.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $547.52 / $2,194.88	Professional		$73.84	$547.52	$2,194.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $421.64 / $927.49	Professional		$66.69	$421.64	$927.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.00 / $346.58 / $1,026.56	Facility		$62.00	$346.58	$1,026.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $346.58 / $1,017.38	Professional		$65.78	$346.58	$1,017.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $496.91 / $821.38	Professional		$78.27	$496.91	$821.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $596.97 / $742.36	Facility		$86.94	$596.97	$742.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.19 / $407.19 / $428.99	Facility		$407.19	$407.19	$428.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $137.88 / $808.23	Professional		$71.26	$137.88	$808.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.84 / $137.35 / $714.89	Professional		$67.84	$137.35	$714.89
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 $481.49 / $683.66 / $1,043.51	Professional		$481.49	$683.66	$1,043.51