Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.90 / $171.51 / $14,464.32	Facility		$70.90	$171.51	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $73.81 / $162.02	Professional		$41.45	$73.81	$162.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $658.33 / $1,339.76	Facility		$55.00	$658.33	$1,339.76
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $136.41 / $638.78	Professional		$66.98	$136.41	$638.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.71 / $60.71 / $101.14	Facility		$60.71	$60.71	$101.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $108.64 / $224.63	Professional		$62.21	$108.64	$224.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $94.28 / $231.56	Facility		$56.42	$94.28	$231.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $93.89 / $155.84	Professional		$56.52	$93.89	$155.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.06 / $110.96 / $180.72	Professional		$17.06	$110.96	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $120.88 / $148.74	Facility		$75.70	$120.88	$148.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.00 / $99.21 / $101.45	Facility		$47.00	$99.21	$101.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $105.22 / $185.97	Professional		$69.23	$105.22	$185.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $511.06 / $699.99 / $1,354.98	Facility		$511.06	$699.99	$1,354.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $101.18 / $171.83	Professional		$61.93	$101.18	$171.83
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.96 / $154.41 / $211.44	Professional		$84.96	$154.41	$211.44