Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.30 / $153.90 / $18,711.00	Facility		$88.30	$153.90	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.76 / $80.06 / $184.39	Professional		$46.76	$80.06	$184.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $854.53 / $1,739.05	Facility		$55.00	$854.53	$1,739.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $163.25 / $609.44	Professional		$87.31	$163.25	$609.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.39 / $64.39 / $107.27	Facility		$64.39	$64.39	$107.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $130.51 / $248.76	Professional		$76.48	$130.51	$248.76
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $113.76 / $259.68	Facility		$67.27	$113.76	$259.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.81 / $113.06 / $187.98	Professional		$67.81	$113.06	$187.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $111.26 / $181.04	Professional		$17.14	$111.26	$181.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $144.72 / $166.16	Facility		$90.35	$144.72	$166.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $109.63 / $113.34	Facility		$48.42	$109.63	$113.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.95 / $130.62 / $209.33	Professional		$85.95	$130.62	$209.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $663.37 / $908.60 / $1,739.05	Facility		$663.37	$908.60	$1,739.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $78.08 / $120.35 / $191.95	Professional		$78.08	$120.35	$191.95
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 $99.44 / $179.13 / $239.44	Professional		$99.44	$179.13	$239.44