Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.21 / $131.50 / $278.00	Professional		$97.21	$131.50	$278.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $183.24 / $323.95 / $323.95	Facility		$183.24	$323.95	$323.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $257.92 / $839.44	Professional		$132.91	$257.92	$839.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $193.22 / $312.50	Professional		$106.80	$193.22	$312.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $103.68 / $174.22 / $288.12	Facility		$103.68	$174.22	$288.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.96 / $178.74 / $292.93	Professional		$108.96	$178.74	$292.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $69.17 / $132.69	Professional		$40.10	$69.17	$132.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $139.03 / $221.61 / $225.79	Facility		$139.03	$221.61	$225.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $177.59 / $282.30	Professional		$102.32	$177.59	$282.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $174.41 / $238.43	Professional		$111.28	$174.41	$238.43
United Facility/Professional Professional Modifier Low / Median / High Price $114.04 / $199.01 / $384.75	Professional		$114.04	$199.01	$384.75