Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.76 / $848.44 / $1,377.62	Facility		$253.76	$848.44	$1,377.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.22 / $514.21 / $1,162.45	Professional		$378.22	$514.21	$1,162.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $213.12 / $498.19 / $3,392.96	Facility		$213.12	$498.19	$3,392.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $491.11 / $899.35 / $3,107.03	Professional		$491.11	$899.35	$3,107.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.09 / $424.39 / $1,060.50	Facility		$115.09	$424.39	$1,060.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.50 / $759.61 / $1,207.08	Professional		$388.50	$759.61	$1,207.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.61 / $792.00 / $1,142.50	Facility		$82.61	$792.00	$1,142.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.42 / $904.19 / $1,191.59	Professional		$432.42	$904.19	$1,191.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $243.32 / $504.50	Professional		$45.67	$243.32	$504.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $356.58 / $405.53 / $840.18	Facility		$356.58	$405.53	$840.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $493.10 / $525.48	Facility		$91.11	$493.10	$525.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.22 / $849.93 / $1,073.68	Professional		$556.22	$849.93	$1,073.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $202.33 / $262.42 / $569.51	Facility		$202.33	$262.42	$569.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $535.91 / $746.67 / $1,092.36	Professional		$535.91	$746.67	$1,092.36
United Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $467.81 / $1,137.26	Professional		$367.50	$467.81	$1,137.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $470.35 / $470.35 / $470.35	Professional		$470.35	$470.35	$470.35