Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.81 / $954.50 / $12,214.00	Facility		$215.81	$954.50	$12,214.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $240.00 / $474.49	Professional		$100.67	$240.00	$474.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $144.77 / $818.34 / $1,579.18	Facility		$144.77	$818.34	$1,579.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $539.50 / $2,098.40	Professional		$210.39	$539.50	$2,098.40
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $278.82 / $349.62 / $790.13	Professional	50	$278.82	$349.62	$790.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.24 / $379.24 / $479.00	Facility		$379.24	$379.24	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $328.21 / $759.94	Professional		$137.22	$328.21	$759.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $145.61 / $276.38 / $681.50	Facility		$145.61	$276.38	$681.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $145.96 / $286.83 / $681.50	Professional		$145.96	$286.83	$681.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $275.43 / $597.75	Professional		$44.93	$275.43	$597.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.83 / $506.52 / $568.16	Facility		$233.83	$506.52	$568.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.77 / $388.22 / $388.22	Facility		$144.77	$388.22	$388.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.92 / $385.83 / $715.92	Professional		$189.92	$385.83	$715.92
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $602.39 / $825.55 / $1,579.18	Facility		$602.39	$825.55	$1,579.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $369.20 / $699.43	Professional		$155.22	$369.20	$699.43
United Facility/Professional Facility Modifier Low / Median / High Price $118.00 / $414.00 / $5,793.00	Facility		$118.00	$414.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.91 / $371.70 / $754.21	Professional		$157.91	$371.70	$754.21