Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.85 / $7,920.26 / $27,982.24	Facility		$191.85	$7,920.26	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $191.85 / $697.56	Professional		$117.65	$191.85	$697.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $170.78 / $908.00	Facility		$55.00	$170.78	$908.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $174.17 / $312.25 / $1,108.50	Professional		$174.17	$312.25	$1,108.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $255.17 / $394.46	Professional		$139.30	$255.17	$394.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $193.91 / $327.58	Facility		$148.00	$193.91	$327.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.93 / $211.20 / $327.58	Professional		$151.93	$211.20	$327.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $339.11	Professional		$75.00	$75.00	$339.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $103.57 / $110.87	Facility		$84.38	$103.57	$110.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $170.78 / $170.78 / $173.66	Facility		$170.78	$170.78	$173.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.08 / $286.89 / $347.89	Professional		$179.08	$286.89	$347.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.17 / $249.81 / $332.10	Professional		$174.17	$249.81	$332.10
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $184.46 / $307.62	Professional		$92.36	$184.46	$307.62