Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.53 / $210.89 / $14,464.32	Facility		$92.53	$210.89	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $75.20 / $194.07	Professional		$46.25	$75.20	$194.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $109.68 / $1,070.69	Facility		$55.00	$109.68	$1,070.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $145.15 / $1,070.26	Professional		$70.08	$145.15	$1,070.26
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 $63.28 / $107.47 / $212.51	Professional		$63.28	$107.47	$212.51
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.75 / $116.32 / $187.74	Facility		$70.75	$116.32	$187.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $118.17 / $197.66	Professional		$73.50	$118.17	$197.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $100.61 / $177.28	Professional		$18.01	$100.61	$177.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.49 / $148.07 / $160.80	Facility		$98.49	$148.07	$160.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.83 / $102.83 / $109.68	Facility		$102.83	$102.83	$109.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $121.66 / $197.12	Professional		$70.25	$121.66	$197.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $849.85 / $849.85 / $1,070.69	Facility		$849.85	$849.85	$1,070.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $104.87 / $182.28	Professional		$67.45	$104.87	$182.28
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 $95.46 / $117.78 / $224.19	Professional		$95.46	$117.78	$224.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $52.47 / $89.57	Professional		$52.47	$52.47	$89.57