Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.18 / $2,291.00 / $18,711.00	Facility		$70.18	$2,291.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $50.55 / $117.25	Professional		$38.17	$50.55	$117.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.10 / $55.00 / $1,300.00	Facility		$52.10	$55.00	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $88.54 / $496.00	Professional		$57.00	$88.54	$496.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $714.97 / $714.97	Facility		$714.97	$714.97	$714.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $78.31 / $123.26	Professional		$46.56	$78.31	$123.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $86.82 / $112.00	Facility		$43.09	$86.82	$112.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $86.15 / $112.00	Professional		$43.09	$86.15	$112.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $54.86 / $91.09	Professional		$8.91	$54.86	$91.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $62.70 / $75.70 / $89.11	Facility		$62.70	$75.70	$89.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $51.19 / $52.10	Facility		$51.19	$51.19	$52.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $87.50 / $105.62	Professional		$54.98	$87.50	$105.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $74.95 / $98.72	Professional		$60.45	$74.95	$98.72
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $71.51 / $111.03	Professional		$44.86	$71.51	$111.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $39.65 / $39.65	Professional		$32.29	$39.65	$39.65