Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.19 / $555.37 / $2,067.63	Facility		$147.19	$555.37	$2,067.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $352.74 / $555.37	Professional		$65.11	$352.74	$555.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $589.14 / $1,313.38	Facility		$375.25	$589.14	$1,313.38
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $247.66 / $732.94 / $2,814.38	Professional		$247.66	$732.94	$2,814.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.88 / $604.90 / $968.93	Facility		$329.88	$604.90	$968.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.62 / $396.73 / $511.94	Professional		$189.62	$396.73	$511.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $370.14 / $472.41 / $1,070.65	Facility		$370.14	$472.41	$1,070.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $551.62 / $1,038.46	Professional		$375.25	$551.62	$1,038.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $333.97 / $367.36 / $1,009.98	Professional		$333.97	$367.36	$1,009.98
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $375.25 / $788.03	Facility		$375.25	$375.25	$788.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $337.73 / $600.40 / $1,125.75	Facility		$337.73	$600.40	$1,125.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $469.06 / $566.63	Professional		$337.73	$469.06	$566.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $394.01 / $615.79 / $1,031.94	Facility		$394.01	$615.79	$1,031.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $415.03 / $730.03 / $872.30	Professional		$415.03	$730.03	$872.30
United Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $157.61 / $412.78	Professional		$39.15	$157.61	$412.78