Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.25 / $868.57 / $20,680.40	Facility		$364.25	$868.57	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.75 / $354.24 / $785.59	Professional		$234.75	$354.24	$785.59
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $370.63 / $1,233.74	Facility		$55.00	$370.63	$1,233.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $381.49 / $641.99 / $2,391.30	Professional		$381.49	$641.99	$2,391.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $714.97 / $947.00	Facility		$500.00	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $497.25 / $801.61	Professional		$293.51	$497.25	$801.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $257.30 / $521.00 / $676.56	Facility		$257.30	$521.00	$676.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.30 / $521.00 / $686.82	Professional		$257.30	$521.00	$686.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.81 / $417.01 / $704.82	Professional		$69.81	$417.01	$704.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $427.33 / $513.67 / $552.84	Facility		$427.33	$513.67	$552.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $368.29 / $368.29 / $370.63	Facility		$368.29	$368.29	$370.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.52 / $617.09 / $744.82	Professional		$389.52	$617.09	$744.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $434.95 / $533.15 / $702.33	Professional		$434.95	$533.15	$702.33
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 $303.91 / $463.13 / $783.03	Professional		$303.91	$463.13	$783.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $224.99 / $277.80 / $277.80	Professional		$224.99	$277.80	$277.80