Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.61 / $456.88 / $12,214.00	Facility		$217.61	$456.88	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $160.94 / $390.17	Professional		$109.61	$160.94	$390.17
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 $182.97 / $328.80 / $1,184.00	Professional		$182.97	$328.80	$1,184.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.56 / $714.97 / $947.00	Facility		$142.56	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.66 / $262.55 / $465.02	Professional		$140.66	$262.55	$465.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $139.50 / $245.25 / $442.07	Facility		$139.50	$245.25	$442.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $238.72 / $382.86	Professional		$136.22	$238.72	$382.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $189.87 / $337.98	Professional		$31.86	$189.87	$337.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $195.46 / $300.83 / $321.60	Facility		$195.46	$300.83	$321.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.03 / $214.27 / $219.36	Facility		$110.03	$214.27	$219.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.91 / $286.51 / $413.57	Professional		$189.91	$286.51	$413.57
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 $188.69 / $266.83 / $371.52	Professional		$188.69	$266.83	$371.52
United Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $938.00 / $2,962.56	Facility		$425.00	$938.00	$2,962.56
United Facility/Professional Professional Modifier Low / Median / High Price $170.14 / $262.89 / $454.10	Professional		$170.14	$262.89	$454.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.54 / $131.13 / $176.71	Professional		$130.54	$131.13	$176.71