Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.90 / $116.63 / $432.25	Facility		$55.90	$116.63	$432.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $62.47 / $133.12	Professional		$39.90	$62.47	$133.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $133.41 / $567.02 / $1,107.58	Facility		$133.41	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $151.22 / $591.44	Professional		$66.14	$151.22	$591.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.15 / $99.48 / $211.42	Professional		$57.15	$99.48	$211.42
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.30 / $102.94 / $185.62	Facility		$62.30	$102.94	$185.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $103.97 / $184.75	Professional		$63.50	$103.97	$184.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $100.61 / $177.40	Professional		$18.01	$100.61	$177.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $78.40 / $132.00 / $160.80	Facility		$78.40	$132.00	$160.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.93 / $101.93 / $109.68	Facility		$101.93	$101.93	$109.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $113.02 / $190.14	Professional		$63.92	$113.02	$190.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $367.90 / $567.35 / $1,085.27	Facility		$367.90	$567.35	$1,085.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $103.95 / $180.24	Professional		$60.98	$103.95	$180.24
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 $85.99 / $108.68 / $226.88	Professional		$85.99	$108.68	$226.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.19 / $47.19 / $88.62	Professional		$47.19	$47.19	$88.62