Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.43 / $380.80 / $7,984.74	Facility		$93.43	$380.80	$7,984.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.24 / $98.66 / $278.95	Professional		$46.24	$98.66	$278.95
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $158.12 / $567.02 / $1,107.58	Facility		$158.12	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $76.83 / $218.23 / $860.88	Professional		$76.83	$218.23	$860.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $134.80 / $307.77	Professional		$67.18	$134.80	$307.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $133.16 / $265.91	Facility		$71.00	$133.16	$265.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $135.47 / $277.48	Professional		$76.86	$135.47	$277.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $150.05 / $267.18	Professional		$27.01	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $89.32 / $188.00 / $231.82	Facility		$89.32	$188.00	$231.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.38 / $155.38 / $158.12	Facility		$155.38	$155.38	$158.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.36 / $152.32 / $288.60	Professional		$75.36	$152.32	$288.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $72.53 / $138.56 / $267.80	Professional		$72.53	$138.56	$267.80
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 $77.98 / $146.27 / $314.52	Professional		$77.98	$146.27	$314.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $56.57 / $128.00	Professional		$56.57	$56.57	$128.00