Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.83 / $348.48 / $14,464.32	Facility		$162.83	$348.48	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.59 / $151.13 / $320.61	Professional		$89.59	$151.13	$320.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $203.37 / $516.00	Facility		$55.00	$203.37	$516.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $145.47 / $292.60 / $1,107.20	Professional		$145.47	$292.60	$1,107.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.97 / $714.97 / $714.97	Facility		$714.97	$714.97	$714.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.16 / $227.39 / $417.56	Professional		$119.16	$227.39	$417.56
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.25 / $211.75 / $366.17	Facility		$118.25	$211.75	$366.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.27 / $209.82 / $366.17	Professional		$115.27	$209.82	$366.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $216.76 / $366.32	Professional		$36.02	$216.76	$366.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $177.55 / $265.32 / $298.14	Facility		$177.55	$265.32	$298.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.37 / $203.37 / $205.66	Facility		$203.37	$203.37	$205.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $234.68 / $387.19	Professional		$146.72	$234.68	$387.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $240.22 / $343.82	Professional		$147.08	$240.22	$343.82
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $497.00 / $5,793.00	Facility		$125.00	$497.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.99 / $249.09 / $433.50	Professional		$154.99	$249.09	$433.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.11 / $122.58 / $161.96	Professional		$92.11	$122.58	$161.96