Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $243.80 / $613.73 / $14,464.32	Facility		$243.80	$613.73	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $196.90 / $371.72	Professional		$121.34	$196.90	$371.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $166.91 / $2,689.32 / $5,488.32	Facility		$166.91	$2,689.32	$5,488.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $236.51 / $434.75 / $1,859.10	Professional		$236.51	$434.75	$1,859.10
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $314.76 / $395.10 / $691.50	Professional	50	$314.76	$395.10	$691.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.53 / $345.53 / $479.00	Facility		$345.53	$345.53	$479.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.37 / $284.69 / $594.13	Professional		$161.37	$284.69	$594.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $162.58 / $270.10 / $553.67	Facility		$162.58	$270.10	$553.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $284.52 / $529.35	Professional		$163.00	$284.52	$529.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.50 / $301.88 / $542.15	Professional		$55.50	$301.88	$542.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.25 / $395.89 / $433.49	Facility		$251.25	$395.89	$433.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.91 / $290.37 / $295.68	Facility		$166.91	$290.37	$295.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.39 / $335.59 / $546.38	Professional		$215.39	$335.59	$546.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,860.50 / $2,805.46 / $5,488.32	Facility		$1,860.50	$2,805.46	$5,488.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $296.14 / $533.65	Professional		$173.71	$296.14	$533.65
United Facility/Professional Facility Modifier Low / Median / High Price $496.00 / $1,120.00 / $6,857.00	Facility		$496.00	$1,120.00	$6,857.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.50 / $344.59 / $604.80	Professional		$260.50	$344.59	$604.80