Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $291.20 / $291.20	Facility		$291.20	$291.20	$291.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $265.56 / $464.70	Professional		$156.94	$265.56	$464.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $539.78 / $738.95 / $962.78	Facility		$539.78	$738.95	$962.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $207.88 / $702.30	Professional		$113.84	$207.88	$702.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.44 / $652.41 / $987.12	Facility		$234.44	$652.41	$987.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $150.63 / $257.48	Professional		$90.18	$150.63	$257.48
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $150.15 / $635.38	Facility		$62.98	$150.15	$635.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $126.28 / $218.36	Professional		$56.61	$126.28	$218.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.86 / $80.11	Professional		$32.34	$55.86	$80.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.87 / $29.84 / $31.89	Facility		$23.87	$29.84	$31.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.53 / $110.53 / $110.59	Facility		$110.53	$110.53	$110.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $187.94 / $230.38	Professional		$127.50	$187.94	$230.38
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $450.29 / $677.06 / $1,320.55	Facility		$450.29	$677.06	$1,320.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.73 / $167.46 / $229.77	Professional		$112.73	$167.46	$229.77
United Facility/Professional Professional Modifier Low / Median / High Price $118.16 / $290.00 / $725.38	Professional		$118.16	$290.00	$725.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $33.51 / $33.51	Professional		$33.51	$33.51	$33.51