Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.15 / $222.65 / $14,464.32	Facility		$101.15	$222.65	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $80.92 / $219.93	Professional		$48.22	$80.92	$219.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $131.37 / $731.93	Facility		$55.00	$131.37	$731.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $173.78 / $479.55	Professional		$79.86	$173.78	$479.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.15 / $121.46 / $249.62	Professional		$69.15	$121.46	$249.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $74.70 / $126.98 / $216.78	Facility		$74.70	$126.98	$216.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.50 / $127.24 / $225.50	Professional		$77.50	$127.24	$225.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $149.78 / $265.74	Professional		$27.16	$149.78	$265.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $105.19 / $163.88 / $190.95	Facility		$105.19	$163.88	$190.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.79 / $129.79 / $131.37	Facility		$129.79	$129.79	$131.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $138.22 / $238.38	Professional		$79.23	$138.22	$238.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $580.97 / $580.97 / $731.93	Facility		$580.97	$580.97	$731.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $77.15 / $133.97 / $219.82	Professional		$77.15	$133.97	$219.82
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 $112.14 / $141.65 / $276.14	Professional		$112.14	$141.65	$276.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.68 / $57.68 / $103.07	Professional		$57.68	$57.68	$103.07