Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.02 / $1,733.00 / $20,680.40	Facility		$778.02	$1,733.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.96 / $778.02 / $1,598.41	Professional		$551.96	$778.02	$1,598.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $812.68 / $14,337.33	Facility		$55.00	$812.68	$14,337.33
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $830.41 / $1,403.68 / $5,214.30	Professional		$830.41	$1,403.68	$5,214.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $826.50 / $1,209.67 / $1,756.98	Professional		$826.50	$1,209.67	$1,756.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $586.52 / $1,302.90 / $1,599.00	Facility		$586.52	$1,302.90	$1,599.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $765.19 / $1,302.90 / $1,647.10	Professional		$765.19	$1,302.90	$1,647.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.57 / $916.78 / $1,479.63	Professional		$148.57	$916.78	$1,479.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $881.79 / $1,128.93 / $1,225.43	Facility		$881.79	$1,128.93	$1,225.43
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.68 / $812.68 / $813.00	Facility		$812.68	$812.68	$813.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $860.53 / $1,355.92 / $1,622.87	Professional		$860.53	$1,355.92	$1,622.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $828.83 / $1,169.52 / $1,575.30	Professional		$828.83	$1,169.52	$1,575.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $804.76 / $1,183.65 / $1,755.85	Professional		$804.76	$1,183.65	$1,755.85