Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.58 / $357.19 / $14,464.32	Facility		$79.58	$357.19	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $105.15 / $228.18	Professional		$53.92	$105.15	$228.18
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $109.63 / $1,836.95 / $3,748.81	Facility		$109.63	$1,836.95	$3,748.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $130.86 / $1,017.00	Professional		$72.81	$130.86	$1,017.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.93 / $500.00 / $568.48	Facility		$114.93	$500.00	$568.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $138.31 / $243.84	Professional		$73.11	$138.31	$243.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $85.22 / $172.69 / $334.90	Facility		$85.22	$172.69	$334.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.22 / $167.69 / $298.45	Professional		$85.22	$167.69	$298.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $151.02 / $268.41	Professional		$27.05	$151.02	$268.41
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $130.74 / $159.46 / $257.27	Facility		$130.74	$159.46	$257.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.14 / $109.63 / $117.54	Facility		$39.14	$109.63	$117.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $117.10 / $202.54	Professional		$75.29	$117.10	$202.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,270.82 / $1,958.65 / $3,748.81	Facility		$1,270.82	$1,958.65	$3,748.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.47 / $111.80 / $190.72	Professional		$69.47	$111.80	$190.72
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 $89.87 / $166.31 / $234.63	Professional		$89.87	$166.31	$234.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $65.70 / $88.08	Professional		$45.86	$65.70	$88.08