Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.07 / $444.15 / $935.65	Facility		$134.07	$444.15	$935.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $134.07 / $138.35	Professional		$89.86	$134.07	$138.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $149.76 / $228.21 / $589.26	Facility		$149.76	$228.21	$589.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $296.18 / $1,069.73	Professional		$128.37	$296.18	$1,069.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.34 / $303.19 / $368.29	Facility		$148.34	$303.19	$368.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $128.37 / $142.63 / $242.47	Facility		$128.37	$142.63	$242.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $142.63 / $356.58	Professional		$128.37	$142.63	$356.58
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 $128.37 / $156.88 / $249.60	Facility		$128.37	$156.88	$249.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $249.60 / $442.15	Facility		$142.63	$249.60	$442.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $178.29 / $215.37	Professional		$128.37	$178.29	$215.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $149.76 / $234.06 / $392.23	Facility		$149.76	$234.06	$392.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $157.75 / $277.47 / $331.27	Professional		$157.75	$277.47	$331.27
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $59.90 / $159.75	Professional		$59.90	$59.90	$159.75