Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.24 / $1,360.43 / $20,680.40	Facility		$518.24	$1,360.43	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.44 / $518.24 / $1,218.68	Professional		$431.44	$518.24	$1,218.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $644.16 / $6,047.14	Facility		$55.00	$644.16	$6,047.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $693.93 / $1,188.69 / $4,308.89	Professional		$693.93	$1,188.69	$4,308.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $596.46 / $970.34 / $1,420.38	Professional		$596.46	$970.34	$1,420.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $584.22 / $1,001.77 / $1,217.73	Facility		$584.22	$1,001.77	$1,217.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.94 / $1,001.77 / $1,217.73	Professional		$586.94	$1,001.77	$1,217.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.31 / $784.39 / $1,293.55	Professional		$122.31	$784.39	$1,293.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $685.51 / $900.43 / $967.48	Facility		$685.51	$900.43	$967.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $644.16 / $644.16 / $659.91	Facility		$644.16	$644.16	$659.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $693.93 / $1,100.76 / $1,353.46	Professional		$693.93	$1,100.76	$1,353.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $656.96 / $949.29 / $1,278.66	Professional		$656.96	$949.29	$1,278.66
United Facility/Professional Facility Modifier Low / Median / High Price $703.00 / $2,446.00 / $36,803.00	Facility		$703.00	$2,446.00	$36,803.00
United Facility/Professional Professional Modifier Low / Median / High Price $620.40 / $1,037.95 / $1,457.84	Professional		$620.40	$1,037.95	$1,457.84