Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.42 / $641.62 / $18,711.00	Facility		$300.42	$641.62	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $329.80 / $648.79	Professional		$162.63	$329.80	$648.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $339.75 / $1,868.90 / $3,814.01	Facility		$339.75	$1,868.90	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $276.08 / $489.35 / $1,894.40	Professional		$276.08	$489.35	$1,894.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.83 / $370.83 / $370.83	Facility		$370.83	$370.83	$370.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.04 / $364.88 / $719.48	Professional		$206.04	$364.88	$719.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $196.07 / $339.20 / $612.91	Facility		$196.07	$339.20	$612.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.07 / $339.20 / $593.36	Professional		$196.07	$339.20	$593.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.91 / $333.92 / $591.07	Professional		$58.91	$333.92	$591.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $278.05 / $460.29 / $513.89	Facility		$278.05	$460.29	$513.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.94 / $339.75 / $369.15	Facility		$122.94	$339.75	$369.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $267.33 / $410.47 / $633.46	Professional		$267.33	$410.47	$633.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,292.92 / $1,992.71 / $3,814.01	Facility		$1,292.92	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $241.50 / $386.17 / $604.47	Professional		$241.50	$386.17	$604.47
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $284.00 / $397.61 / $721.99	Professional		$284.00	$397.61	$721.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $205.94 / $277.61	Professional		$174.22	$205.94	$277.61