Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.14 / $214.86 / $9,723.12	Facility		$98.14	$214.86	$9,723.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $98.14 / $234.06	Professional		$74.62	$98.14	$234.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $120.50 / $8,854.69 / $16,947.71	Facility		$120.50	$8,854.69	$16,947.71
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $127.95 / $211.21 / $1,500.00	Professional		$127.95	$211.21	$1,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,380.38 / $2,380.38 / $3,965.68	Facility		$2,380.38	$2,380.38	$3,965.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $183.18 / $267.62	Professional		$116.59	$183.18	$267.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $111.19 / $200.50 / $5,198.37	Facility		$111.19	$200.50	$5,198.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $195.07 / $2,671.90	Professional		$116.10	$195.07	$2,671.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $208.07 / $343.04	Professional		$32.38	$208.07	$343.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $129.36 / $170.37 / $185.45	Facility		$129.36	$170.37	$185.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.50 / $124.30 / $1,367.95	Facility		$120.50	$124.30	$1,367.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $207.35 / $254.95	Professional		$130.87	$207.35	$254.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,745.15 / $8,854.69 / $16,947.71	Facility		$5,745.15	$8,854.69	$16,947.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $122.89 / $178.81 / $240.86	Professional		$122.89	$178.81	$240.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,550.00 / $2,431.00 / $11,261.00	Facility		$1,550.00	$2,431.00	$11,261.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $195.73 / $261.64	Professional		$117.00	$195.73	$261.64