Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.08 / $959.32 / $1,404.67	Facility		$285.08	$959.32	$1,404.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.18 / $285.08 / $431.54	Professional		$219.18	$285.08	$431.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $498.73 / $790.94 / $2,165.12	Facility		$498.73	$790.94	$2,165.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $328.94 / $559.28 / $2,008.13	Professional		$328.94	$559.28	$2,008.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.45 / $658.59 / $957.98	Facility		$334.45	$658.59	$957.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.14 / $504.88 / $771.68	Professional		$325.14	$504.88	$771.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $246.87 / $512.32 / $796.87	Facility		$246.87	$512.32	$796.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.35 / $513.29 / $732.33	Professional		$274.35	$513.29	$732.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $65.00	Professional		$45.00	$50.00	$65.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $367.93 / $441.50 / $461.63	Facility		$367.93	$441.50	$461.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.87 / $314.87 / $322.54	Facility		$314.87	$314.87	$322.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.43 / $536.42 / $645.79	Professional		$363.43	$536.42	$645.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $493.86 / $742.57 / $1,448.33	Facility		$493.86	$742.57	$1,448.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $328.94 / $476.79 / $670.36	Professional		$328.94	$476.79	$670.36
United Facility/Professional Professional Modifier Low / Median / High Price $256.98 / $329.76 / $637.27	Professional		$256.98	$329.76	$637.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $277.50 / $277.50 / $277.50	Professional		$277.50	$277.50	$277.50