Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.91 / $316.94 / $20,680.40	Facility		$148.91	$316.94	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $145.83 / $288.23	Professional		$99.92	$145.83	$288.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $152.63 / $2,250.75	Facility		$55.00	$152.63	$2,250.75
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $157.11 / $257.14 / $2,856.41	Professional		$157.11	$257.14	$2,856.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.62 / $204.89 / $330.30	Professional		$122.62	$204.89	$330.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $113.40 / $225.45 / $278.68	Facility		$113.40	$225.45	$278.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $217.89 / $285.27	Professional		$106.69	$217.89	$285.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.48 / $202.94 / $346.74	Professional		$33.48	$202.94	$346.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $160.22 / $211.95 / $223.78	Facility		$160.22	$211.95	$223.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.85 / $150.85 / $152.63	Facility		$150.85	$150.85	$152.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.84 / $254.14 / $306.75	Professional		$159.84	$254.14	$306.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $178.16 / $219.57 / $288.05	Professional		$178.16	$219.57	$288.05
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.63 / $197.39 / $322.47	Professional		$125.63	$197.39	$322.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $114.63 / $114.63	Professional		$92.76	$114.63	$114.63