Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.04 / $301.94 / $20,680.40	Facility		$142.04	$301.94	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $138.43 / $281.27	Professional		$95.98	$138.43	$281.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $144.41 / $1,300.00	Facility		$55.00	$144.41	$1,300.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $148.65 / $243.05 / $1,061.66	Professional		$148.65	$243.05	$1,061.66
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 $117.99 / $193.87 / $312.54	Professional		$117.99	$193.87	$312.54
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $100.75 / $215.52 / $270.97	Facility		$100.75	$215.52	$270.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.75 / $212.24 / $272.07	Professional		$100.75	$212.24	$272.07
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 $151.90 / $200.42 / $211.72	Facility		$151.90	$200.42	$211.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.05 / $144.05 / $144.41	Facility		$144.05	$144.05	$144.41
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $241.21 / $291.13	Professional		$153.08	$241.21	$291.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $170.13 / $207.74 / $273.66	Professional		$170.13	$207.74	$273.66
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 $118.86 / $185.26 / $315.41	Professional		$118.86	$185.26	$315.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.79 / $108.39 / $108.39	Professional		$87.79	$108.39	$108.39