Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.33 / $914.40 / $10,122.46	Facility		$182.33	$914.40	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.64 / $150.91 / $290.60	Professional		$98.64	$150.91	$290.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $854.53 / $1,739.05	Facility		$97.21	$854.53	$1,739.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $334.48 / $1,113.75	Professional		$202.43	$334.48	$1,113.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.49 / $120.49 / $200.74	Facility		$120.49	$120.49	$200.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.05 / $285.02 / $446.73	Professional		$138.05	$285.02	$446.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $126.91 / $220.21 / $384.16	Facility		$126.91	$220.21	$384.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.71 / $217.93 / $323.66	Professional		$130.71	$217.93	$323.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $192.20 / $332.99	Professional		$30.25	$192.20	$332.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $155.50 / $240.57 / $297.48	Facility		$155.50	$240.57	$297.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.21 / $202.49 / $202.91	Facility		$97.21	$202.49	$202.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.91 / $302.76 / $387.00	Professional		$202.91	$302.76	$387.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $589.53 / $908.60 / $1,739.05	Facility		$589.53	$908.60	$1,739.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $196.93 / $272.83 / $361.28	Professional		$196.93	$272.83	$361.28
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 $154.97 / $293.61 / $430.62	Professional		$154.97	$293.61	$430.62