Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.04 / $826.93 / $9,574.57	Facility		$356.04	$826.93	$9,574.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.56 / $294.99 / $600.58	Professional		$183.56	$294.99	$600.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $460.20 / $1,173.53 / $2,499.04	Facility		$460.20	$1,173.53	$2,499.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $640.65 / $2,487.60	Professional		$288.00	$640.65	$2,487.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.00 / $564.00 / $906.00	Facility		$334.00	$564.00	$906.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.24 / $447.53 / $893.13	Professional		$262.24	$447.53	$893.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $268.64 / $441.10 / $769.37	Facility		$268.64	$441.10	$769.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $279.22 / $464.50 / $805.76	Professional		$279.22	$464.50	$805.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $324.69 / $749.80	Professional		$45.38	$324.69	$749.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $317.29 / $548.98 / $674.69	Facility		$317.29	$548.98	$674.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $453.00 / $460.20	Facility		$150.57	$453.00	$460.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.30 / $503.16 / $837.67	Professional		$289.30	$503.16	$837.67
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $732.75 / $1,129.34 / $2,161.55	Facility		$732.75	$1,129.34	$2,161.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $462.00 / $779.42	Professional		$277.20	$462.00	$779.42
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 $369.60 / $452.76 / $928.16	Professional		$369.60	$452.76	$928.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $222.64 / $372.60	Professional		$222.64	$222.64	$372.60