Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.42 / $152.94 / $18,711.00	Facility		$95.42	$152.94	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.97 / $69.95 / $182.24	Professional		$41.97	$69.95	$182.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $56.51 / $567.02 / $1,107.58	Facility		$56.51	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $150.68 / $610.91	Professional		$72.95	$150.68	$610.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $114.17	Facility		$75.09	$75.09	$114.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $106.73 / $216.57	Professional		$60.32	$106.73	$216.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $66.04 / $104.43 / $183.40	Facility		$66.04	$104.43	$183.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.05 / $110.49 / $185.71	Professional		$67.05	$110.49	$185.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $100.62 / $177.40	Professional		$18.00	$100.62	$177.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.22 / $135.30 / $164.82	Facility		$83.22	$135.30	$164.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $107.36 / $112.42	Facility		$35.15	$107.36	$112.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $126.30 / $204.97	Professional		$72.95	$126.30	$204.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $432.38 / $577.67 / $1,085.27	Facility		$432.38	$577.67	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $109.49 / $188.05	Professional		$70.22	$109.49	$188.05
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 $94.01 / $117.52 / $232.74	Professional		$94.01	$117.52	$232.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $55.25 / $91.55	Professional		$55.25	$55.25	$91.55