Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.99 / $379.04 / $646.77	Facility		$299.99	$379.04	$646.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.63 / $446.55 / $988.51	Professional		$301.63	$446.55	$988.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $1,143.00 / $9,254.52 / $19,750.56	Facility		$1,143.00	$9,254.52	$19,750.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $378.40 / $3,492.00	Professional		$218.06	$378.40	$3,492.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.52 / $245.52 / $308.73	Professional		$245.52	$245.52	$308.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $214.74 / $418.71 / $7,397.05	Facility		$214.74	$418.71	$7,397.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.56 / $384.26 / $631.60	Professional		$178.56	$384.26	$631.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $152.77 / $301.99	Professional		$28.80	$152.77	$301.99
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $318.92 / $530.25	Facility		$261.80	$318.92	$530.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.82 / $213.82 / $217.53	Facility		$213.82	$213.82	$217.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.89 / $374.80 / $453.15	Professional		$245.89	$374.80	$453.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $9,254.52 / $15,184.17 / $29,615.41	Facility		$9,254.52	$15,184.17	$29,615.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $329.39 / $462.61	Professional		$218.06	$329.39	$462.61
United Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $279.47 / $483.91	Professional		$174.67	$279.47	$483.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $178.64 / $178.64	Professional		$178.64	$178.64	$178.64