Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.11 / $334.67 / $14,464.32	Facility		$118.11	$334.67	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $133.29 / $331.45	Professional		$61.19	$133.29	$331.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,054.06 / $4,418.06	Facility		$55.00	$2,054.06	$4,418.06
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $106.65 / $307.51 / $1,242.08	Professional		$106.65	$307.51	$1,242.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.29 / $714.97 / $947.00	Facility		$174.29	$714.97	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $183.64 / $473.09	Professional		$85.81	$183.64	$473.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $87.45 / $173.04 / $444.18	Facility		$87.45	$173.04	$444.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $164.04 / $329.30	Professional		$86.81	$164.04	$329.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.34 / $274.13 / $466.30	Professional		$44.34	$274.13	$466.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $159.80 / $272.06 / $338.35	Facility		$159.80	$272.06	$338.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.08 / $210.43 / $232.39	Facility		$142.08	$210.43	$232.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.31 / $214.60 / $436.97	Professional		$106.31	$214.60	$436.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $2,168.55 / $3,344.18 / $6,397.05	Facility		$2,168.55	$3,344.18	$6,397.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.29 / $198.11 / $383.55	Professional		$107.29	$198.11	$383.55
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $6,857.00	Facility		$650.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $160.50 / $272.89 / $485.44	Professional		$160.50	$272.89	$485.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.33 / $136.66 / $187.72	Professional		$69.33	$136.66	$187.72