Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.31 / $193.31 / $193.31	Facility		$193.31	$193.31	$193.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $193.31 / $322.61	Professional		$133.16	$193.31	$322.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $234.08 / $726.62 / $726.62	Facility		$234.08	$726.62	$726.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $218.94 / $395.21 / $1,388.33	Professional		$218.94	$395.21	$1,388.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.86 / $305.22 / $506.57	Professional		$175.86	$305.22	$506.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $172.67 / $360.14 / $450.83	Facility		$172.67	$360.14	$450.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.67 / $361.90 / $469.26	Professional		$172.67	$361.90	$469.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $56.55 / $80.86	Professional		$32.34	$56.55	$80.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $219.37 / $313.39 / $320.26	Facility		$219.37	$313.39	$320.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.45 / $218.45 / $218.80	Facility		$218.45	$218.45	$218.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.32 / $375.18 / $455.06	Professional		$249.32	$375.18	$455.06
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $145.07 / $145.07 / $145.07	Facility		$145.07	$145.07	$145.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.15 / $330.78 / $457.64	Professional		$223.15	$330.78	$457.64
United Facility/Professional Professional Modifier Low / Median / High Price $168.04 / $200.98 / $484.44	Professional		$168.04	$200.98	$484.44