Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.75 / $4,500.00 / $22,024.00	Facility		$715.75	$4,500.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.02 / $715.75 / $1,029.94	Professional		$517.02	$715.75	$1,029.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $764.21 / $7,176.40	Facility		$55.00	$764.21	$7,176.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $789.40 / $1,334.36 / $4,974.89	Professional		$789.40	$1,334.36	$4,974.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.64 / $1,129.42 / $1,681.73	Professional		$765.64	$1,129.42	$1,681.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $694.74 / $1,211.38 / $1,489.67	Facility		$694.74	$1,211.38	$1,489.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.65 / $1,211.38 / $1,489.67	Professional		$745.65	$1,211.38	$1,489.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $140.08 / $862.46 / $1,313.56	Professional		$140.08	$862.46	$1,313.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $745.62 / $1,076.66 / $1,137.66	Facility		$745.62	$1,076.66	$1,137.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $764.21 / $764.21 / $775.99	Facility		$764.21	$764.21	$775.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.74 / $1,288.96 / $1,542.73	Professional		$798.74	$1,288.96	$1,542.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $779.39 / $1,116.27 / $1,503.58	Professional		$779.39	$1,116.27	$1,503.58
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 $737.22 / $1,012.20 / $1,670.12	Professional		$737.22	$1,012.20	$1,670.12