Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.28 / $1,254.28 / $20,680.40	Facility		$537.28	$1,254.28	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.21 / $537.28 / $1,140.66	Professional		$430.21	$537.28	$1,140.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $590.26 / $1,969.48	Facility		$55.00	$590.26	$1,969.48
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $601.99 / $998.00 / $4,680.88	Professional		$601.99	$998.00	$4,680.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.25 / $873.94 / $1,272.02	Professional		$569.25	$873.94	$1,272.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $415.09 / $926.55 / $1,125.27	Facility		$415.09	$926.55	$1,125.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.38 / $928.00 / $1,193.50	Professional		$542.38	$928.00	$1,193.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $609.54 / $987.84	Professional		$99.17	$609.54	$987.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $685.00 / $815.75 / $890.50	Facility		$685.00	$815.75	$890.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.26 / $590.26 / $592.73	Facility		$590.26	$590.26	$592.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $626.32 / $986.89 / $1,181.18	Professional		$626.32	$986.89	$1,181.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $601.99 / $852.64 / $1,148.49	Professional		$601.99	$852.64	$1,148.49
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 $548.30 / $777.60 / $1,252.26	Professional		$548.30	$777.60	$1,252.26