Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.41 / $602.59 / $6,096.00	Facility		$150.41	$602.59	$6,096.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $156.49 / $396.44	Professional		$82.89	$156.49	$396.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $123.60 / $1,104.92 / $2,161.55	Facility		$123.60	$1,104.92	$2,161.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $296.73 / $1,134.88	Professional		$149.93	$296.73	$1,134.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.25 / $160.25 / $243.64	Facility		$160.25	$160.25	$243.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.59 / $215.79 / $408.15	Professional		$132.59	$215.79	$408.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.65 / $221.28 / $367.72	Facility		$133.65	$221.28	$367.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.19 / $232.65 / $367.72	Professional		$141.19	$232.65	$367.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $200.24 / $357.19	Professional		$36.31	$200.24	$357.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $146.41 / $211.81 / $298.27	Facility		$146.41	$211.81	$298.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $202.04 / $209.76	Facility		$101.11	$202.04	$209.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $250.86 / $384.50	Professional		$149.93	$250.86	$384.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $209.71 / $355.27	Professional		$140.44	$209.71	$355.27
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 $168.09 / $224.13 / $438.34	Professional		$168.09	$224.13	$438.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.52 / $117.52 / $170.79	Professional		$117.52	$117.52	$170.79