Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.37 / $344.11 / $951.74	Facility		$162.37	$344.11	$951.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.18 / $162.37 / $307.25	Professional		$92.18	$162.37	$307.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $181.37 / $302.27 / $820.47	Facility		$181.37	$302.27	$820.47
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $155.46 / $321.30 / $1,295.48	Professional		$155.46	$321.30	$1,295.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.32 / $367.16 / $479.32	Facility		$238.32	$367.16	$479.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.17 / $193.86 / $235.87	Professional		$93.17	$193.86	$235.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $233.10 / $533.75	Facility		$172.73	$233.10	$533.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $264.14 / $485.74	Professional		$172.73	$264.14	$485.74
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 $172.73 / $172.73 / $362.73	Facility		$172.73	$172.73	$362.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $310.91 / $518.19	Facility		$172.73	$310.91	$518.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.46 / $215.91 / $260.82	Professional		$155.46	$215.91	$260.82
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.37 / $283.45 / $475.01	Facility		$181.37	$283.45	$475.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $191.04 / $336.05 / $401.71	Professional		$191.04	$336.05	$401.71
United Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $85.43 / $207.28	Professional		$72.55	$85.43	$207.28