Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.44 / $250.02 / $14,464.32	Facility		$131.44	$250.02	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.79 / $88.67 / $172.77	Professional		$60.79	$88.67	$172.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $311.31 / $567.02 / $1,107.58	Facility		$311.31	$567.02	$1,107.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $198.85 / $747.36	Professional		$98.88	$198.85	$747.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.43 / $142.24 / $267.16	Professional		$89.43	$142.24	$267.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $90.45 / $145.72 / $241.38	Facility		$90.45	$145.72	$241.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $148.47 / $241.38	Professional		$92.07	$148.47	$241.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.11 / $150.05 / $267.18	Professional		$27.11	$150.05	$267.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $123.74 / $180.23 / $201.67	Facility		$123.74	$180.23	$201.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.09 / $134.09 / $137.56	Facility		$134.09	$134.09	$137.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.64 / $166.59 / $252.15	Professional		$99.64	$166.59	$252.15
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 $95.17 / $139.37 / $232.06	Professional		$95.17	$139.37	$232.06
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 $115.09 / $141.52 / $285.00	Professional		$115.09	$141.52	$285.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $77.77 / $111.70	Professional		$77.77	$77.77	$111.70