Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.48 / $5,128.00 / $22,024.00	Facility		$91.48	$5,128.00	$22,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $91.48 / $106.39	Professional		$84.30	$91.48	$106.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $145.94 / $660.96	Facility		$114.01	$145.94	$660.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $208.49 / $800.10	Professional		$126.59	$208.49	$800.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $765.00 / $870.49	Facility		$714.97	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $120.05 / $143.83	Professional		$120.05	$120.05	$143.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $177.75 / $237.97 / $1,319.06	Facility		$177.75	$237.97	$1,319.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.51 / $236.99 / $315.41	Professional		$174.51	$236.99	$315.41
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 $120.56 / $175.99 / $263.94	Facility		$120.56	$175.99	$263.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.12 / $124.12 / $125.22	Facility		$124.12	$124.12	$125.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $199.20 / $248.55	Professional		$136.86	$199.20	$248.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $116.06 / $136.82 / $506.67	Facility		$116.06	$136.82	$506.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $126.59 / $174.22 / $237.28	Professional		$126.59	$174.22	$237.28
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.23 / $149.81 / $270.14	Professional		$112.23	$149.81	$270.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $63.96 / $63.96	Professional		$63.96	$63.96	$63.96