Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.18 / $2,064.40 / $7,920.26	Facility		$207.18	$2,064.40	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.34 / $175.39 / $415.15	Professional		$106.34	$175.39	$415.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $513.16 / $1,959.77 / $5,070.50	Facility		$513.16	$1,959.77	$5,070.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $194.60 / $330.16 / $1,256.56	Professional		$194.60	$330.16	$1,256.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.83 / $568.48 / $880.53	Facility		$466.83	$568.48	$880.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.43 / $255.70 / $470.68	Professional		$141.43	$255.70	$470.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $258.72 / $648.52	Facility		$137.93	$258.72	$648.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $252.69 / $528.20	Professional		$137.93	$252.69	$528.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.48 / $253.73 / $447.48	Professional		$45.48	$253.73	$447.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $205.61 / $323.57 / $340.68	Facility		$205.61	$323.57	$340.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.95 / $230.33 / $715.32	Facility		$226.95	$230.33	$715.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.88 / $278.39 / $420.08	Professional		$187.88	$278.39	$420.08
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,430.01 / $1,958.65 / $3,748.81	Facility		$1,430.01	$1,958.65	$3,748.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $179.86 / $271.39 / $411.70	Professional		$179.86	$271.39	$411.70
United Facility/Professional Facility Modifier Low / Median / High Price $472.00 / $938.00 / $4,611.00	Facility		$472.00	$938.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.50 / $277.20 / $486.61	Professional		$210.50	$277.20	$486.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.98 / $138.59 / $183.30	Professional		$118.98	$138.59	$183.30