Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.91 / $1,998.08 / $11,522.02	Facility		$139.91	$1,998.08	$11,522.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.21 / $130.25 / $292.80	Professional		$83.21	$130.25	$292.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $176.86 / $1,874.13 / $3,814.01	Facility		$176.86	$1,874.13	$3,814.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $258.68 / $941.76	Professional		$150.47	$258.68	$941.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.39 / $894.39 / $894.39	Facility		$894.39	$894.39	$894.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.15 / $227.32 / $385.85	Professional		$134.15	$227.32	$385.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $133.15 / $225.50 / $635.54	Facility		$133.15	$225.50	$635.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.15 / $221.35 / $402.23	Professional		$133.15	$221.35	$402.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $212.51 / $348.27	Professional		$34.44	$212.51	$348.27
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.51 / $246.61 / $271.32	Facility		$143.51	$246.61	$271.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.86 / $176.86 / $180.75	Facility		$176.86	$176.86	$180.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.82 / $213.78 / $324.19	Professional		$144.82	$213.78	$324.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,454.88 / $1,992.71 / $3,814.01	Facility		$1,454.88	$1,992.71	$3,814.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $137.32 / $195.68 / $299.54	Professional		$137.32	$195.68	$299.54
United Facility/Professional Facility Modifier Low / Median / High Price $648.00 / $1,875.00 / $4,911.00	Facility		$648.00	$1,875.00	$4,911.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $216.71 / $374.31	Professional		$144.78	$216.71	$374.31