Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.76 / $933.81 / $14,464.32	Facility		$522.76	$933.81	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.02 / $415.05 / $938.50	Professional		$254.02	$415.05	$938.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,633.02 / $5,709.61	Facility		$55.00	$2,633.02	$5,709.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $445.12 / $817.82 / $3,029.44	Professional		$445.12	$817.82	$3,029.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $414.82 / $568.48 / $691.09	Facility		$414.82	$568.48	$691.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.10 / $619.77 / $1,155.79	Professional		$331.10	$619.77	$1,155.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $338.65 / $597.34 / $1,113.70	Facility		$338.65	$597.34	$1,113.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.82 / $577.10 / $935.87	Professional		$337.82	$577.10	$935.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $449.04 / $956.49	Professional		$48.61	$449.04	$956.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $468.90 / $699.48 / $820.08	Facility		$468.90	$699.48	$820.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.66 / $559.37 / $562.16	Facility		$333.66	$559.37	$562.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $461.79 / $703.43 / $1,070.25	Professional		$461.79	$703.43	$1,070.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,153.55 / $4,321.81 / $8,267.12	Facility		$3,153.55	$4,321.81	$8,267.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $449.11 / $663.94 / $947.38	Professional		$449.11	$663.94	$947.38
United Facility/Professional Facility Modifier Low / Median / High Price $805.00 / $1,318.98 / $3,740.00	Facility		$805.00	$1,318.98	$3,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.83 / $687.01 / $1,194.31	Professional		$400.83	$687.01	$1,194.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $306.27 / $333.77 / $457.81	Professional		$306.27	$333.77	$457.81