Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.71 / $231.08 / $14,464.32	Facility		$124.71	$231.08	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.80 / $123.74 / $229.68	Professional		$76.80	$123.74	$229.68
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $407.21 / $12,000.00	Facility		$130.01	$407.21	$12,000.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $124.66 / $221.71 / $766.65	Professional		$124.66	$221.71	$766.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.10 / $731.00 / $731.00	Facility		$421.10	$731.00	$731.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $155.97 / $283.24	Professional		$102.63	$155.97	$283.24
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $113.28 / $157.90 / $236.66	Facility		$113.28	$157.90	$236.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.97 / $176.57 / $251.82	Professional		$113.97	$176.57	$251.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $150.24 / $264.34	Professional		$26.42	$150.24	$264.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.65 / $172.86 / $195.16	Facility		$139.65	$172.86	$195.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.01 / $130.01 / $132.99	Facility		$130.01	$130.01	$132.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.66 / $205.11 / $250.91	Professional		$124.66	$205.11	$250.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,568.04 / $2,568.04 / $3,235.34	Facility		$2,568.04	$2,568.04	$3,235.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $172.21 / $238.02	Professional		$120.54	$172.21	$238.02
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $648.00 / $5,793.00	Facility		$140.00	$648.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.12 / $148.72 / $279.99	Professional		$120.12	$148.72	$279.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $94.24 / $104.50	Professional		$94.24	$94.24	$104.50