Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.82 / $10,122.46 / $27,982.24	Facility		$207.82	$10,122.46	$27,982.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $207.82 / $352.39	Professional		$142.86	$207.82	$352.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $258.66 / $577.67 / $1,097.58	Facility		$258.66	$577.67	$1,097.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $222.27 / $446.63 / $1,627.73	Professional		$222.27	$446.63	$1,627.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.34 / $644.92 / $1,110.00	Facility		$166.34	$644.92	$1,110.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $129.82 / $183.40 / $1,194.45	Facility		$129.82	$183.40	$1,194.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $179.29 / $605.54	Professional		$128.00	$179.29	$605.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $146.41 / $223.20	Facility		$20.96	$146.41	$223.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $256.39 / $258.66	Facility		$108.88	$256.39	$258.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.75 / $431.43 / $513.41	Professional		$262.75	$431.43	$513.41
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $432.38 / $578.16 / $1,097.58	Facility		$432.38	$578.16	$1,097.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $258.44 / $347.81 / $499.47	Professional		$258.44	$347.81	$499.47
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.57 / $479.81 / $884.35	Professional		$378.57	$479.81	$884.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $16.89 / $23.90	Professional		$16.89	$16.89	$23.90