Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.03 / $1,372.34 / $20,680.40	Facility		$584.03	$1,372.34	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.33 / $584.03 / $1,248.03	Professional		$454.33	$584.03	$1,248.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $628.38 / $5,805.80	Facility		$55.00	$628.38	$5,805.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $641.67 / $1,084.66 / $4,029.83	Professional		$641.67	$1,084.66	$4,029.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.91 / $922.06 / $1,358.65	Professional		$588.91	$922.06	$1,358.65
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $443.92 / $990.35 / $1,130.35	Facility		$443.92	$990.35	$1,130.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $562.99 / $993.77 / $1,184.98	Professional		$562.99	$993.77	$1,184.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $720.97 / $1,164.50	Professional		$116.25	$720.97	$1,164.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $674.42 / $873.26 / $942.55	Facility		$674.42	$873.26	$942.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.38 / $628.38 / $628.76	Facility		$628.38	$628.38	$628.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $664.95 / $1,047.76 / $1,254.03	Professional		$664.95	$1,047.76	$1,254.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $641.26 / $903.93 / $1,217.56	Professional		$641.26	$903.93	$1,217.56
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 $603.67 / $960.40 / $1,378.18	Professional		$603.67	$960.40	$1,378.18