Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.16 / $7,920.26 / $22,024.00	Facility		$529.16	$7,920.26	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.19 / $529.16 / $761.41	Professional		$379.19	$529.16	$761.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $571.69 / $1,902.89	Facility		$55.00	$571.69	$1,902.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $986.20 / $3,679.58	Professional		$583.04	$986.20	$3,679.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.40 / $852.12 / $1,244.00	Professional		$544.40	$852.12	$1,244.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $508.85 / $887.26 / $1,091.08	Facility		$508.85	$887.26	$1,091.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.14 / $887.26 / $1,091.08	Professional		$546.14	$887.26	$1,091.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $105.44 / $655.70 / $1,007.35	Professional		$105.44	$655.70	$1,007.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $551.33 / $796.31 / $841.52	Facility		$551.33	$796.31	$841.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.69 / $571.69 / $573.99	Facility		$571.69	$571.69	$573.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $590.82 / $952.65 / $1,140.20	Professional		$590.82	$952.65	$1,140.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $583.04 / $825.69 / $1,112.19	Professional		$583.04	$825.69	$1,112.19
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 $546.04 / $694.96 / $1,208.81	Professional		$546.04	$694.96	$1,208.81