Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $699.00 / $4,011.00 / $18,711.00	Facility		$699.00	$4,011.00	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.68 / $513.92 / $1,116.35	Professional		$376.68	$513.92	$1,116.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $628.30 / $4,777.50	Facility		$55.00	$628.30	$4,777.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $663.73 / $1,160.56 / $4,188.38	Professional		$663.73	$1,160.56	$4,188.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $535.35 / $959.50 / $1,406.60	Professional		$535.35	$959.50	$1,406.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $526.67 / $884.24 / $1,140.79	Facility		$526.67	$884.24	$1,140.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.67 / $884.24 / $1,179.06	Professional		$526.67	$884.24	$1,179.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $251.30 / $905.25	Professional		$61.19	$251.30	$905.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.91 / $845.54 / $945.37	Facility		$616.91	$845.54	$945.37
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $628.30 / $628.30 / $644.83	Facility		$628.30	$628.30	$644.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $663.73 / $1,068.25 / $1,322.53	Professional		$663.73	$1,068.25	$1,322.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $640.79 / $927.59 / $1,249.44	Professional		$640.79	$927.59	$1,249.44
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 $566.54 / $904.24 / $1,354.60	Professional		$566.54	$904.24	$1,354.60