Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.51 / $6,470.00 / $22,024.00	Facility		$683.51	$6,470.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.12 / $573.88 / $1,527.31	Professional		$474.12	$573.88	$1,527.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $520.50 / $2,505.44	Facility		$55.00	$520.50	$2,505.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $539.08 / $947.03 / $3,982.75	Professional		$539.08	$947.03	$3,982.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $517.59 / $845.75 / $1,123.82	Professional		$517.59	$845.75	$1,123.82
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $493.15 / $842.45 / $1,453.52	Facility		$493.15	$842.45	$1,453.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $563.89 / $842.45 / $1,453.52	Professional		$563.89	$842.45	$1,453.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.60 / $557.75 / $906.41	Professional		$90.60	$557.75	$906.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $628.98 / $775.88 / $1,193.27	Facility		$628.98	$775.88	$1,193.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.50 / $520.50 / $523.72	Facility		$520.50	$520.50	$523.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $550.99 / $870.91 / $1,039.54	Professional		$550.99	$870.91	$1,039.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $530.84 / $755.46 / $1,014.78	Professional		$530.84	$755.46	$1,014.78
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 $516.55 / $837.72 / $1,162.25	Professional		$516.55	$837.72	$1,162.25