Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.42 / $417.68 / $879.89	Facility		$127.42	$417.68	$879.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $126.08 / $130.11	Professional		$84.50	$126.08	$130.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $140.84 / $214.61 / $469.46	Facility		$140.84	$214.61	$469.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $356.86 / $1,005.98	Professional		$134.13	$356.86	$1,005.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.49 / $285.10 / $346.32	Facility		$139.49	$285.10	$346.32
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.72 / $134.13 / $335.32	Facility		$120.72	$134.13	$335.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $134.13 / $335.32	Professional		$120.72	$134.13	$335.32
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 $134.13 / $134.13 / $187.78	Facility		$134.13	$134.13	$187.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $233.39 / $402.39	Facility		$134.13	$233.39	$402.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $167.66 / $202.54	Professional		$120.72	$167.66	$202.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $140.84 / $214.61 / $368.86	Facility		$140.84	$214.61	$368.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.35 / $262.14 / $328.68	Professional		$148.35	$262.14	$328.68
United Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $56.33 / $150.22	Professional		$56.33	$56.33	$150.22