Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $289.19 / $18,711.00	Facility		$129.66	$289.19	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.75 / $122.73 / $260.20	Professional		$66.75	$122.73	$260.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $208.39 / $1,129.34 / $2,161.55	Facility		$208.39	$1,129.34	$2,161.55
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $101.32 / $289.06 / $1,129.28	Professional		$101.32	$289.06	$1,129.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $193.58 / $405.55	Professional		$93.15	$193.58	$405.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $187.54 / $393.58	Facility		$103.00	$187.54	$393.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $189.70 / $393.58	Professional		$104.64	$189.70	$393.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $200.24 / $357.19	Professional		$36.17	$200.24	$357.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $121.98 / $259.92 / $305.52	Facility		$121.98	$259.92	$305.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.57 / $206.57 / $208.39	Facility		$206.57	$206.57	$208.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.96 / $207.84 / $381.99	Professional		$99.96	$207.84	$381.99
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 $95.17 / $182.73 / $352.94	Professional		$95.17	$182.73	$352.94
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 $160.99 / $234.90 / $442.19	Professional		$160.99	$234.90	$442.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $75.51 / $169.43	Professional		$75.51	$75.51	$169.43