Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $228.53 / $498.14 / $14,464.32	Facility		$228.53	$498.14	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.52 / $228.53 / $478.15	Professional		$127.52	$228.53	$478.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $204.92 / $1,836.95 / $3,748.81	Facility		$204.92	$1,836.95	$3,748.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $227.06 / $356.09 / $1,337.84	Professional		$227.06	$356.09	$1,337.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.07 / $765.00 / $870.49	Facility		$216.07	$765.00	$870.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $283.25 / $514.21	Professional		$165.76	$283.25	$514.21
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $145.57 / $265.20 / $436.69	Facility		$145.57	$265.20	$436.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.57 / $261.36 / $421.50	Professional		$145.57	$261.36	$421.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $292.88 / $518.57	Professional		$52.08	$292.88	$518.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.11 / $332.09 / $371.85	Facility		$223.11	$332.09	$371.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.23 / $244.62 / $253.64	Facility		$68.23	$244.62	$253.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.05 / $327.43 / $455.09	Professional		$221.05	$327.43	$455.09
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 $211.79 / $298.27 / $436.55	Professional		$211.79	$298.27	$436.55
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 $215.01 / $295.23 / $527.15	Professional		$215.01	$295.23	$527.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.85 / $151.29 / $197.65	Professional		$138.85	$151.29	$197.65