Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.33 / $261.94 / $658.02	Facility		$114.33	$261.94	$658.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.06 / $114.33 / $180.01	Professional		$79.06	$114.33	$180.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $127.71 / $199.59 / $918.65	Facility		$127.71	$199.59	$918.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $237.69 / $912.23	Professional		$109.47	$237.69	$912.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $229.53 / $355.77	Facility		$82.34	$229.53	$355.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $136.22 / $175.66	Professional		$75.88	$136.22	$175.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $179.09 / $416.25	Facility		$121.63	$179.09	$416.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.63 / $215.10 / $376.18	Professional		$121.63	$215.10	$376.18
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 $121.63 / $121.63 / $255.42	Facility		$121.63	$121.63	$255.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.63 / $212.85 / $364.89	Facility		$121.63	$212.85	$364.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.47 / $152.04 / $183.66	Professional		$109.47	$152.04	$183.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $127.71 / $200.69 / $334.48	Facility		$127.71	$200.69	$334.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.81 / $236.38 / $282.51	Professional		$141.81	$236.38	$282.51
United Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $69.59 / $136.22	Professional		$51.08	$69.59	$136.22