Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.37 / $268.52 / $18,711.00	Facility		$186.37	$268.52	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.88 / $141.54 / $320.00	Professional		$88.88	$141.54	$320.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $1,668.28 / $3,404.60	Facility		$91.83	$1,668.28	$3,404.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $287.04 / $1,072.00	Professional		$145.44	$287.04	$1,072.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.95 / $121.95 / $185.42	Facility		$121.95	$121.95	$185.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.19 / $203.13 / $383.63	Professional		$123.19	$203.13	$383.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $120.06 / $198.72 / $340.19	Facility		$120.06	$198.72	$340.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.31 / $204.67 / $338.60	Professional		$124.31	$204.67	$338.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $201.23 / $354.55	Professional		$36.00	$201.23	$354.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $144.21 / $240.35 / $292.79	Facility		$144.21	$240.35	$292.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.59 / $192.53 / $199.71	Facility		$59.59	$192.53	$199.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $241.16 / $366.07	Professional		$145.44	$241.16	$366.07
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 $139.99 / $204.00 / $336.88	Professional		$139.99	$204.00	$336.88
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 $173.46 / $221.00 / $411.35	Professional		$173.46	$221.00	$411.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.64 / $107.64 / $160.52	Professional		$107.64	$107.64	$160.52