Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.74 / $520.44 / $20,680.40	Facility		$227.74	$520.44	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.02 / $227.74 / $473.29	Professional		$176.02	$227.74	$473.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $244.95 / $1,852.92	Facility		$55.00	$244.95	$1,852.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $250.24 / $426.00 / $1,569.68	Professional		$250.24	$426.00	$1,569.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.42 / $359.65 / $530.21	Professional		$244.42	$359.65	$530.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $202.12 / $394.42 / $571.55	Facility		$202.12	$394.42	$571.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.20 / $394.42 / $571.55	Professional		$226.20	$394.42	$571.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $305.33 / $493.50	Professional		$49.52	$305.33	$493.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $256.79 / $341.41 / $365.16	Facility		$256.79	$341.41	$365.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.95 / $244.95 / $245.07	Facility		$244.95	$244.95	$245.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.32 / $408.60 / $489.05	Professional		$259.32	$408.60	$489.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $249.94 / $352.36 / $474.63	Professional		$249.94	$352.36	$474.63
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 $235.84 / $323.64 / $518.46	Professional		$235.84	$323.64	$518.46