Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.62 / $398.03 / $14,464.32	Facility		$124.62	$398.03	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $125.61 / $252.14	Professional		$59.71	$125.61	$252.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $316.16 / $4,594.55 / $11,887.47	Facility		$316.16	$4,594.55	$11,887.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $124.90 / $285.02 / $1,090.24	Professional		$124.90	$285.02	$1,090.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,007.00 / $1,007.00 / $1,677.65	Facility		$1,007.00	$1,007.00	$1,677.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $203.98 / $450.16	Professional		$109.00	$203.98	$450.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $227.58 / $1,436.99	Facility		$109.00	$227.58	$1,436.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.93 / $201.99 / $476.17	Professional		$106.93	$201.99	$476.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $221.32 / $361.37	Professional		$34.76	$221.32	$361.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $135.34 / $282.30 / $313.56	Facility		$135.34	$282.30	$313.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.74 / $210.65 / $625.69	Facility		$204.74	$210.65	$625.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $204.74 / $392.80	Professional		$118.39	$204.74	$392.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,979.36 / $4,591.92 / $8,788.86	Facility		$2,979.36	$4,591.92	$8,788.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.39 / $211.46 / $346.75	Professional		$110.39	$211.46	$346.75
United Facility/Professional Facility Modifier Low / Median / High Price $879.00 / $1,689.00 / $7,385.00	Facility		$879.00	$1,689.00	$7,385.00
United Facility/Professional Professional Modifier Low / Median / High Price $186.56 / $297.38 / $438.34	Professional		$186.56	$297.38	$438.34