Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.80 / $931.20 / $14,464.32	Facility		$402.80	$931.20	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.04 / $327.93 / $702.04	Professional		$191.04	$327.93	$702.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $523.66 / $1,173.53 / $2,499.04	Facility		$523.66	$1,173.53	$2,499.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $312.14 / $732.27 / $2,838.24	Professional		$312.14	$732.27	$2,838.24
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 $279.64 / $495.96 / $1,019.25	Professional		$279.64	$495.96	$1,019.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $295.68 / $489.79 / $885.34	Facility		$295.68	$489.79	$885.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $506.97 / $926.59	Professional		$308.00	$506.97	$926.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $395.09 / $875.53	Professional		$45.48	$395.09	$875.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $349.52 / $626.38 / $771.17	Facility		$349.52	$626.38	$771.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $523.66 / $526.01	Facility		$150.57	$523.66	$526.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.73 / $552.04 / $964.19	Professional		$309.73	$552.04	$964.19
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 $296.14 / $534.07 / $890.87	Professional		$296.14	$534.07	$890.87
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 $433.50 / $557.44 / $1,101.04	Professional		$433.50	$557.44	$1,101.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.54 / $235.54 / $423.78	Professional		$235.54	$235.54	$423.78