Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.08 / $2,306.96 / $13,750.00	Facility		$307.08	$2,306.96	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $543.72 / $1,427.72	Professional		$172.78	$543.72	$1,427.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,122.39 / $1,475.05	Facility		$55.00	$1,122.39	$1,475.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $291.31 / $1,512.75 / $6,036.72	Professional		$291.31	$1,512.75	$6,036.72
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $410.64 / $502.42 / $1,906.98	Professional	50	$410.64	$502.42	$1,906.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.04 / $1,010.36 / $2,505.63	Professional		$270.04	$1,010.36	$2,505.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $265.25 / $752.99 / $2,106.96	Facility		$265.25	$752.99	$2,106.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.82 / $752.99 / $2,106.96	Professional		$266.82	$752.99	$2,106.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $214.35 / $1,310.60 / $2,183.83	Professional		$214.35	$1,310.60	$2,183.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.35 / $1,566.40 / $1,689.04	Facility		$338.35	$1,566.40	$1,689.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.39 / $1,122.39 / $1,170.09	Facility		$1,122.39	$1,122.39	$1,170.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.37 / $563.73 / $2,057.39	Professional		$291.37	$563.73	$2,057.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $271.39 / $520.44 / $1,900.94	Professional		$271.39	$520.44	$1,900.94
United Facility/Professional Facility Modifier Low / Median / High Price $497.00 / $1,078.00 / $6,216.00	Facility		$497.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,077.58 / $1,553.73 / $2,425.35	Professional		$1,077.58	$1,553.73	$2,425.35