Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.62 / $362.70 / $567.22	Facility		$203.62	$362.70	$567.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.39 / $203.62 / $407.82	Professional		$119.39	$203.62	$407.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $358.29 / $1,817.06 / $2,997.66	Facility		$358.29	$1,817.06	$2,997.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $219.22 / $409.03 / $1,428.23	Professional		$219.22	$409.03	$1,428.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,396.62 / $2,717.59 / $3,301.11	Facility		$1,396.62	$2,717.59	$3,301.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $271.17 / $533.91	Professional		$145.72	$271.17	$533.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $154.94 / $336.88 / $1,710.13	Facility		$154.94	$336.88	$1,710.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $297.97 / $445.70	Professional		$144.46	$297.97	$445.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $155.56 / $376.05	Professional		$31.45	$155.56	$376.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $213.18 / $299.69 / $333.66	Facility		$213.18	$299.69	$333.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.59 / $227.59 / $231.94	Facility		$227.59	$227.59	$231.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.90 / $385.45 / $466.78	Professional		$248.90	$385.45	$466.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,405.05 / $2,214.17 / $4,315.00	Facility		$1,405.05	$2,214.17	$4,315.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $236.54 / $341.49 / $461.79	Professional		$236.54	$341.49	$461.79
United Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $188.62 / $454.59	Professional		$147.55	$188.62	$454.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.24 / $186.24 / $186.24	Professional		$186.24	$186.24	$186.24