Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.32 / $529.63 / $14,464.32	Facility		$241.32	$529.63	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.25 / $206.90 / $510.59	Professional		$113.25	$206.90	$510.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $173.84 / $1,668.28 / $3,404.60	Facility		$173.84	$1,668.28	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $182.94 / $385.16 / $2,772.20	Professional		$182.94	$385.16	$2,772.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.70 / $217.70 / $330.99	Facility		$217.70	$217.70	$330.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.71 / $282.52 / $589.92	Professional		$165.71	$282.52	$589.92
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $178.46 / $293.33 / $534.89	Facility		$178.46	$293.33	$534.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.11 / $299.20 / $512.40	Professional		$183.11	$299.20	$512.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $299.56 / $531.02	Professional		$54.32	$299.56	$531.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $221.16 / $366.80 / $446.89	Facility		$221.16	$366.80	$446.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.83 / $298.98 / $304.82	Facility		$113.83	$298.98	$304.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $320.57 / $558.75	Professional		$183.77	$320.57	$558.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,154.13 / $1,778.80 / $3,404.60	Facility		$1,154.13	$1,778.80	$3,404.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $176.02 / $304.92 / $516.26	Professional		$176.02	$304.92	$516.26
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 $258.99 / $316.14 / $637.44	Professional		$258.99	$316.14	$637.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $140.28 / $140.28 / $245.25	Professional		$140.28	$140.28	$245.25