Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.44 / $642.65 / $14,464.32	Facility		$314.44	$642.65	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.21 / $217.14 / $467.28	Professional		$156.21	$217.14	$467.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $169.52 / $1,130.00 / $2,206.01	Facility		$169.52	$1,130.00	$2,206.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $237.67 / $479.66 / $1,821.84	Professional		$237.67	$479.66	$1,821.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.21 / $219.21 / $333.29	Facility		$219.21	$219.21	$333.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.57 / $347.88 / $648.62	Professional		$217.57	$347.88	$648.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $224.46 / $362.74 / $580.87	Facility		$224.46	$362.74	$580.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $226.61 / $374.10 / $580.87	Professional		$226.61	$374.10	$580.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.88 / $296.69 / $550.51	Professional		$54.88	$296.69	$550.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $290.13 / $453.51 / $491.11	Facility		$290.13	$453.51	$491.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.57 / $324.80 / $334.98	Facility		$130.57	$324.80	$334.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.90 / $401.06 / $614.03	Professional		$239.90	$401.06	$614.03
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 $227.77 / $335.49 / $567.34	Professional		$227.77	$335.49	$567.34
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 $291.48 / $360.88 / $697.12	Professional		$291.48	$360.88	$697.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.11 / $184.11 / $270.14	Professional		$184.11	$184.11	$270.14