Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.09 / $576.71 / $1,001.93	Facility		$174.09	$576.71	$1,001.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $189.83 / $317.92	Professional		$96.30	$189.83	$317.92
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $194.46 / $296.32 / $765.14	Facility		$194.46	$296.32	$765.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $362.17 / $1,389.00	Professional		$166.68	$362.17	$1,389.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.50 / $300.95 / $478.21	Facility		$98.50	$300.95	$478.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $201.46 / $270.86	Professional		$91.42	$201.46	$270.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $231.50 / $633.75	Facility		$185.20	$231.50	$633.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $272.24 / $572.72	Professional		$185.20	$272.24	$572.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $181.31 / $196.52	Professional		$75.00	$181.31	$196.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $185.20 / $277.80	Facility		$185.20	$185.20	$277.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.20 / $324.10 / $555.60	Facility		$185.20	$324.10	$555.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $231.50 / $279.64	Professional		$166.68	$231.50	$279.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $194.46 / $296.32 / $509.30	Facility		$194.46	$296.32	$509.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.83 / $360.30 / $430.34	Professional		$204.83	$360.30	$430.34
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $77.78 / $207.42	Professional		$77.78	$77.78	$207.42