Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.56 / $417.21 / $750.66	Facility		$107.56	$417.21	$750.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.09 / $107.56 / $111.00	Professional		$72.09	$107.56	$111.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $183.09 / $472.76	Facility		$120.15	$183.09	$472.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $237.83 / $858.23	Professional		$102.99	$237.83	$858.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.01 / $253.71 / $297.77	Facility		$119.01	$253.71	$297.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $114.43 / $194.53	Facility		$114.43	$114.43	$194.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $114.43 / $286.08	Professional		$102.99	$114.43	$286.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.99 / $125.87 / $200.25	Facility		$102.99	$125.87	$200.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $200.25 / $354.73	Facility		$114.43	$200.25	$354.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.99 / $143.04 / $172.79	Professional		$102.99	$143.04	$172.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $120.15 / $187.78 / $314.68	Facility		$120.15	$187.78	$314.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.56 / $222.92 / $266.26	Professional		$126.56	$222.92	$266.26
United Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $48.06 / $128.16	Professional		$48.06	$48.06	$128.16