Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.52 / $1,699.52 / $1,699.52	Facility		$1,699.52	$1,699.52	$1,699.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.63 / $236.90 / $236.90	Professional		$89.63	$236.90	$236.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $720.24 / $1,616.71 / $3,191.07	Facility		$720.24	$1,616.71	$3,191.07
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $120.58 / $233.39 / $1,240.30	Professional		$120.58	$233.39	$1,240.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.14 / $1,448.69 / $2,276.14	Facility		$78.14	$1,448.69	$2,276.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $118.83 / $246.54 / $1,557.63	Facility		$118.83	$246.54	$1,557.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $221.99 / $490.56	Professional		$96.41	$221.99	$490.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $67.76 / $100.25	Professional		$40.10	$67.76	$100.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.58 / $145.75 / $565.41	Facility		$49.58	$145.75	$565.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.11 / $121.11 / $121.11	Facility		$121.11	$121.11	$121.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.65 / $120.65 / $121.11	Professional		$120.65	$120.65	$121.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,052.55 / $1,627.87 / $3,172.39	Facility		$1,052.55	$1,627.87	$3,172.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.34 / $182.69 / $247.74	Professional		$123.34	$182.69	$247.74
United Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $162.59 / $277.70	Professional		$108.65	$162.59	$277.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $75.48 / $75.48	Professional		$75.48	$75.48	$75.48