Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.35 / $4,497.00 / $20,680.40	Facility		$141.35	$4,497.00	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $252.92 / $449.44	Professional		$141.35	$252.92	$449.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $526.84 / $1,128.49 / $2,159.90	Facility		$526.84	$1,128.49	$2,159.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $309.51 / $709.37 / $2,521.90	Professional		$309.51	$709.37	$2,521.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.57 / $275.57 / $275.57	Professional		$275.57	$275.57	$275.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $277.18 / $537.71 / $1,176.25	Facility		$277.18	$537.71	$1,176.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.52 / $515.05 / $1,117.35	Professional		$305.52	$515.05	$1,117.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $558.84 / $907.60	Professional		$85.94	$558.84	$907.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $359.12 / $610.24 / $994.28	Facility		$359.12	$610.24	$994.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.72 / $523.72 / $526.84	Facility		$523.72	$523.72	$526.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.04 / $523.72 / $997.58	Professional		$308.04	$523.72	$997.58
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 $287.56 / $537.30 / $887.00	Professional		$287.56	$537.30	$887.00
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 $619.29 / $870.77 / $1,424.64	Professional		$619.29	$870.77	$1,424.64