Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $103.27 / $140.86	Facility		$60.67	$103.27	$140.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $60.67 / $128.10	Professional		$44.52	$60.67	$128.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $1,229.50 / $2,353.23	Facility		$62.97	$1,229.50	$2,353.23
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $109.18 / $660.00	Professional		$64.22	$109.18	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.77 / $96.98 / $141.01	Professional		$63.77	$96.98	$141.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.68 / $112.72 / $1,348.32	Facility		$60.68	$112.72	$1,348.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $105.82 / $279.76	Professional		$60.68	$105.82	$279.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $46.34 / $67.30	Professional		$20.72	$46.34	$67.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $72.52 / $91.73 / $98.41	Facility		$72.52	$91.73	$98.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $62.97 / $63.98	Facility		$62.97	$62.97	$63.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $106.72 / $131.22	Professional		$65.86	$106.72	$131.22
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $939.68 / $1,253.65 / $2,353.23	Facility		$939.68	$1,253.65	$2,353.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.22 / $92.04 / $123.97	Professional		$64.22	$92.04	$123.97
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $93.12 / $135.51	Professional		$58.37	$93.12	$135.51