Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.56 / $469.48 / $816.21	Facility		$259.56	$469.48	$816.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.06 / $259.56 / $611.66	Professional		$182.06	$259.56	$611.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $737.25 / $1,168.14 / $2,235.80	Facility		$737.25	$1,168.14	$2,235.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $471.83 / $1,301.77	Professional		$272.83	$471.83	$1,301.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.41 / $780.44 / $1,926.24	Facility		$513.41	$780.44	$1,926.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.16 / $463.19 / $690.44	Professional		$271.16	$463.19	$690.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $216.07 / $445.29 / $1,678.39	Facility		$216.07	$445.29	$1,678.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $216.07 / $476.01 / $624.99	Professional		$216.07	$476.01	$624.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $232.19 / $468.46	Professional		$42.34	$232.19	$468.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.92 / $384.63 / $433.84	Facility		$297.92	$384.63	$433.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.08 / $270.08 / $273.16	Facility		$270.08	$270.08	$273.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $307.70 / $455.78 / $553.94	Professional		$307.70	$455.78	$553.94
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $757.92 / $1,140.56 / $2,222.71	Facility		$757.92	$1,140.56	$2,222.71
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $408.97 / $567.45	Professional		$278.58	$408.97	$567.45
United Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $219.12 / $546.10	Professional		$173.49	$219.12	$546.10