Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.83 / $635.71 / $11,522.02	Facility		$305.83	$635.71	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $205.95 / $461.77	Professional		$101.87	$205.95	$461.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $314.42 / $4,591.92 / $9,102.00	Facility		$314.42	$4,591.92	$9,102.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $251.52 / $476.10 / $1,700.64	Professional		$251.52	$476.10	$1,700.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.15 / $421.10 / $731.00	Facility		$212.15	$421.10	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.49 / $342.72 / $610.27	Professional		$222.49	$342.72	$610.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $215.76 / $341.38 / $562.63	Facility		$215.76	$341.38	$562.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.32 / $354.40 / $562.45	Professional		$217.32	$354.40	$562.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.65 / $279.63 / $494.90	Professional		$49.65	$279.63	$494.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $203.01 / $315.23 / $453.21	Facility		$203.01	$315.23	$453.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.21 / $307.58 / $314.42	Facility		$123.21	$307.58	$314.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.80 / $420.99 / $576.34	Professional		$253.80	$420.99	$576.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.09 / $352.90 / $558.09	Professional		$242.09	$352.90	$558.09
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,382.83 / $4,611.00	Facility		$350.00	$1,382.83	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $335.40 / $650.76	Professional		$270.89	$335.40	$650.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $197.76 / $197.76 / $254.19	Professional		$197.76	$197.76	$254.19