Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.84 / $714.09 / $17,100.00	Facility		$246.84	$714.09	$17,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $262.62 / $669.22	Professional		$147.62	$262.62	$669.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $730.43 / $1,157.15 / $11,500.00	Facility		$730.43	$1,157.15	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $241.91 / $523.59 / $2,323.10	Professional		$241.91	$523.59	$2,323.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.73 / $296.73 / $494.35	Facility		$296.73	$296.73	$494.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.04 / $400.53 / $833.05	Professional		$215.04	$400.53	$833.05
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $207.10 / $341.43 / $723.73	Facility		$207.10	$341.43	$723.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.22 / $340.89 / $672.99	Professional		$206.22	$340.89	$672.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $443.43 / $722.75	Professional		$69.52	$443.43	$722.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.48 / $469.68 / $551.41	Facility		$276.48	$469.68	$551.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.13 / $373.27 / $376.11	Facility		$200.13	$373.27	$376.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.16 / $376.11 / $696.68	Professional		$238.16	$376.11	$696.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $844.36 / $1,157.15 / $2,213.50	Facility		$844.36	$1,157.15	$2,213.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $230.55 / $380.69 / $637.00	Professional		$230.55	$380.69	$637.00
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 $333.06 / $546.34 / $806.20	Professional		$333.06	$546.34	$806.20