Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.34 / $2,769.52 / $18,711.00	Facility		$959.34	$2,769.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $505.15 / $694.35 / $1,420.88	Professional		$505.15	$694.35	$1,420.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $695.81 / $4,311.16	Facility		$55.00	$695.81	$4,311.16
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $741.35 / $1,288.99 / $4,498.95	Professional		$741.35	$1,288.99	$4,498.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $669.96 / $1,079.49 / $1,594.49	Professional		$669.96	$1,079.49	$1,594.49
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $617.04 / $1,093.30 / $1,327.79	Facility		$617.04	$1,093.30	$1,327.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.99 / $1,093.30 / $1,329.79	Professional		$639.99	$1,093.30	$1,329.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.86 / $633.36 / $1,226.05	Professional		$97.86	$633.36	$1,226.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $772.49 / $997.10 / $1,055.92	Facility		$772.49	$997.10	$1,055.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $695.81 / $695.81 / $720.23	Facility		$695.81	$695.81	$720.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.35 / $1,200.10 / $1,477.18	Professional		$741.35	$1,200.10	$1,477.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $709.63 / $1,032.90 / $1,395.55	Professional		$709.63	$1,032.90	$1,395.55
United Facility/Professional Facility Modifier Low / Median / High Price $591.00 / $1,106.00 / $4,911.00	Facility		$591.00	$1,106.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $663.08 / $1,121.73 / $1,513.78	Professional		$663.08	$1,121.73	$1,513.78