Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.97 / $205.78 / $18,711.00	Facility		$132.97	$205.78	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $106.98 / $240.33	Professional		$63.20	$106.98	$240.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $1,740.33 / $3,404.60	Facility		$71.81	$1,740.33	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $211.77 / $802.00	Professional		$103.20	$211.77	$802.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.75 / $95.75 / $145.58	Facility		$95.75	$95.75	$145.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $149.62 / $287.52	Professional		$91.35	$149.62	$287.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $92.03 / $151.68 / $262.99	Facility		$92.03	$151.68	$262.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $154.36 / $254.30	Professional		$93.45	$154.36	$254.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $150.45 / $267.18	Professional		$27.05	$150.45	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.65 / $179.85 / $219.09	Facility		$108.65	$179.85	$219.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.55 / $144.05 / $149.44	Facility		$50.55	$144.05	$149.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $172.15 / $273.87	Professional		$103.20	$172.15	$273.87
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 $99.33 / $146.91 / $251.26	Professional		$99.33	$146.91	$251.26
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 $126.00 / $168.72 / $307.79	Professional		$126.00	$168.72	$307.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $76.72 / $120.92	Professional		$76.72	$76.72	$120.92