Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.62 / $187.43 / $397.70	Facility		$95.62	$187.43	$397.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $95.62 / $278.42	Professional		$90.56	$95.62	$278.42
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $956.94 / $1,530.86 / $2,930.04	Facility		$956.94	$1,530.86	$2,930.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $175.01 / $745.00	Professional		$107.18	$175.01	$745.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $690.48 / $1,452.82 / $2,773.27	Facility		$690.48	$1,452.82	$2,773.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.53 / $176.94 / $268.62	Professional		$111.53	$176.94	$268.62
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $86.80 / $220.12 / $2,162.39	Facility		$86.80	$220.12	$2,162.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $200.65 / $256.99	Professional		$86.80	$200.65	$256.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.58 / $103.83 / $180.06	Professional		$18.58	$103.83	$180.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.05 / $154.77 / $225.72	Facility		$127.05	$154.77	$225.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.10 / $105.10 / $105.57	Facility		$105.10	$105.10	$105.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $178.79 / $216.52	Professional		$118.15	$178.79	$216.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $993.26 / $1,494.71 / $2,912.89	Facility		$993.26	$1,494.71	$2,912.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $159.85 / $228.09	Professional		$107.18	$159.85	$228.09
United Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $89.21 / $214.11	Professional		$68.41	$89.21	$214.11