Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.50 / $726.18 / $14,464.32	Facility		$267.50	$726.18	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $261.89 / $623.87	Professional		$131.15	$261.89	$623.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $866.50 / $1,559.22 / $11,500.00	Facility		$866.50	$1,559.22	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $277.69 / $650.17 / $2,383.12	Professional		$277.69	$650.17	$2,383.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.19 / $388.19 / $646.73	Facility		$388.19	$388.19	$646.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.45 / $462.91 / $989.41	Professional		$227.45	$462.91	$989.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $209.82 / $399.46 / $815.90	Facility		$209.82	$399.46	$815.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.82 / $386.26 / $751.43	Professional		$209.82	$386.26	$751.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $351.18 / $707.44	Professional		$49.16	$351.18	$707.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $260.63 / $516.76 / $649.23	Facility		$260.63	$516.76	$649.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $240.81 / $442.83 / $447.56	Facility		$240.81	$442.83	$447.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $442.78 / $821.61	Professional		$263.20	$442.78	$821.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,011.08 / $1,549.85 / $2,982.61	Facility		$1,011.08	$1,549.85	$2,982.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $259.47 / $456.46 / $750.01	Professional		$259.47	$456.46	$750.01
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.28 / $663.62 / $948.11	Professional		$350.28	$663.62	$948.11