Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.27 / $4,497.00 / $20,680.40	Facility		$78.27	$4,497.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.27 / $141.09 / $237.03	Professional		$78.27	$141.09	$237.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $486.10 / $1,128.49 / $2,159.90	Facility		$486.10	$1,128.49	$2,159.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $369.08 / $1,283.65	Professional		$165.73	$369.08	$1,283.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.85 / $153.85 / $153.85	Professional		$153.85	$153.85	$153.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $167.86 / $283.49 / $639.37	Facility		$167.86	$283.49	$639.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $166.50 / $280.27 / $588.16	Professional		$166.50	$280.27	$588.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $279.43 / $453.80	Professional		$43.19	$279.43	$453.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.29 / $340.49 / $500.49	Facility		$204.29	$340.49	$500.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.63 / $269.63 / $270.44	Facility		$269.63	$269.63	$270.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.94 / $269.63 / $513.92	Professional		$164.94	$269.63	$513.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $823.91 / $1,128.49 / $2,159.90	Facility		$823.91	$1,128.49	$2,159.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.01 / $275.81 / $456.66	Professional		$154.01	$275.81	$456.66
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.83 / $440.45 / $711.36	Professional		$318.83	$440.45	$711.36