Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.76 / $493.13 / $718.35	Facility		$264.76	$493.13	$718.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $375.00 / $640.82	Professional		$250.00	$375.00	$640.82
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $420.60 / $2,520.96 / $2,520.96	Facility		$420.60	$2,520.96	$2,520.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $289.67 / $503.68 / $1,747.13	Professional		$289.67	$503.68	$1,747.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.62 / $346.59 / $676.28	Facility		$306.62	$346.59	$676.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.02 / $408.68 / $662.12	Professional		$214.02	$408.68	$662.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $232.19 / $473.60 / $607.53	Facility		$232.19	$473.60	$607.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.19 / $478.15 / $619.79	Professional		$232.19	$478.15	$619.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $191.52 / $428.92	Professional		$32.38	$191.52	$428.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $319.48 / $398.88 / $440.86	Facility		$319.48	$398.88	$440.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $279.68 / $279.68 / $284.02	Facility		$279.68	$279.68	$284.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.64 / $473.69 / $582.62	Professional		$320.64	$473.69	$582.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $169.09 / $169.09 / $169.09	Facility		$169.09	$169.09	$169.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $289.67 / $423.50 / $590.45	Professional		$289.67	$423.50	$590.45
United Facility/Professional Professional Modifier Low / Median / High Price $198.17 / $316.54 / $638.41	Professional		$198.17	$316.54	$638.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.85 / $226.85 / $226.85	Professional		$226.85	$226.85	$226.85