Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.95 / $861.14 / $17,930.00	Facility		$304.95	$861.14	$17,930.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.24 / $308.89 / $884.30	Professional		$155.24	$308.89	$884.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $271.08 / $6,207.20 / $12,667.56	Facility		$271.08	$6,207.20	$12,667.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $302.89 / $660.50 / $2,850.00	Professional		$302.89	$660.50	$2,850.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.33 / $549.33 / $1,031.00	Facility		$549.33	$549.33	$1,031.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.14 / $411.91 / $884.57	Professional		$200.14	$411.91	$884.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $211.69 / $391.16 / $835.13	Facility		$211.69	$391.16	$835.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.95 / $392.22 / $809.28	Professional		$217.95	$392.22	$809.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.16 / $267.98 / $696.97	Professional		$37.16	$267.98	$696.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $324.95 / $599.20 / $663.97	Facility		$324.95	$599.20	$663.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.08 / $450.28 / $452.89	Facility		$271.08	$450.28	$452.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.76 / $452.89 / $833.42	Professional		$270.76	$452.89	$833.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,294.21 / $6,618.43 / $12,667.56	Facility		$4,294.21	$6,618.43	$12,667.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $222.68 / $459.23 / $817.38	Professional		$222.68	$459.23	$817.38
United Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $648.00 / $4,611.00	Facility		$332.00	$648.00	$4,611.00
United Facility/Professional Professional Modifier Low / Median / High Price $379.96 / $532.95 / $905.32	Professional		$379.96	$532.95	$905.32