Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.34 / $594.37 / $18,711.00	Facility		$345.34	$594.37	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.92 / $393.30 / $780.43	Professional		$190.92	$393.30	$780.43
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $271.73 / $760.63 / $1,455.83	Facility		$271.73	$760.63	$1,455.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $314.79 / $610.21 / $2,396.80	Professional		$314.79	$610.21	$2,396.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $337.60 / $337.60 / $337.60	Facility		$337.60	$337.60	$337.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.68 / $434.66 / $893.75	Professional		$237.68	$434.66	$893.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $205.32 / $370.96 / $687.84	Facility		$205.32	$370.96	$687.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.32 / $383.13 / $687.84	Professional		$205.32	$383.13	$687.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $498.62 / $879.17	Professional		$87.89	$498.62	$879.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $318.92 / $538.45 / $655.93	Facility		$318.92	$538.45	$655.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.49 / $415.40 / $447.40	Facility		$90.49	$415.40	$447.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.61 / $482.65 / $790.21	Professional		$311.61	$482.65	$790.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $550.49 / $761.06 / $1,455.83	Facility		$550.49	$761.06	$1,455.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $280.85 / $450.61 / $749.08	Professional		$280.85	$450.61	$749.08
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $329.20 / $482.90 / $918.20	Professional		$329.20	$482.90	$918.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.57 / $276.62 / $375.68	Professional		$207.57	$276.62	$375.68