Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.39 / $551.07 / $1,332.87	Facility		$227.39	$551.07	$1,332.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.28 / $227.39 / $385.37	Professional		$158.28	$227.39	$385.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $387.04 / $999.39	Facility		$254.00	$387.04	$999.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $495.52 / $1,814.25	Professional		$241.90	$495.52	$1,814.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.58 / $514.22 / $776.48	Facility		$251.58	$514.22	$776.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $271.33 / $330.12	Professional		$142.88	$271.33	$330.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $377.55 / $793.51	Facility		$241.90	$377.55	$793.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $427.95 / $748.95	Professional		$241.90	$427.95	$748.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $241.90 / $362.85	Facility		$241.90	$241.90	$362.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $241.90 / $423.33 / $725.70	Facility		$241.90	$423.33	$725.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $302.38 / $365.27	Professional		$217.71	$302.38	$365.27
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $399.14 / $665.23	Facility		$254.00	$399.14	$665.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $267.54 / $470.74 / $562.70	Professional		$267.54	$470.74	$562.70
United Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $125.43 / $270.93	Professional		$101.60	$125.43	$270.93