Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.74 / $854.86 / $2,067.63	Facility		$352.74	$854.86	$2,067.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $352.74 / $555.37	Professional		$198.88	$352.74	$555.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $394.01 / $600.40 / $1,550.31	Facility		$394.01	$600.40	$1,550.31
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $732.94 / $2,814.38	Professional		$337.73	$732.94	$2,814.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $390.26 / $797.66 / $976.51	Facility		$390.26	$797.66	$976.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $396.73 / $511.94	Professional		$179.39	$396.73	$511.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $358.23 / $505.44 / $1,160.72	Facility		$358.23	$505.44	$1,160.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $370.14 / $551.62 / $1,018.04	Professional		$370.14	$551.62	$1,018.04
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 $375.25 / $375.25 / $562.88	Facility		$375.25	$375.25	$562.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.25 / $656.69 / $1,125.75	Facility		$375.25	$656.69	$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 / $600.40 / $1,031.94	Facility		$394.01	$600.40	$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 $157.61 / $157.61 / $420.28	Professional		$157.61	$157.61	$420.28