Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.14 / $489.88 / $1,823.81	Facility		$311.14	$489.88	$1,823.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $311.14 / $489.88	Professional		$165.50	$311.14	$489.88
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $519.66 / $1,367.49	Facility		$331.00	$519.66	$1,367.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $242.91 / $646.87 / $2,482.50	Professional		$242.91	$646.87	$2,482.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.94 / $533.57 / $854.68	Facility		$64.94	$533.57	$854.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.24 / $350.00 / $451.63	Professional		$167.24	$350.00	$451.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $326.43 / $418.05 / $1,023.48	Facility		$326.43	$418.05	$1,023.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $486.57 / $915.66	Professional		$331.00	$486.57	$915.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $294.58 / $324.04 / $890.90	Professional		$294.58	$324.04	$890.90
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $331.00 / $695.10	Facility		$331.00	$331.00	$695.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $297.89 / $529.60 / $993.00	Facility		$297.89	$529.60	$993.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $413.75 / $499.81	Professional		$297.89	$413.75	$499.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $347.55 / $543.16 / $910.25	Facility		$347.55	$543.16	$910.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $366.09 / $643.82 / $769.36	Professional		$366.09	$643.82	$769.36
United Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $397.20 / $397.20	Facility		$331.00	$397.20	$397.20
United Facility/Professional Professional Modifier Low / Median / High Price $108.81 / $139.02 / $370.72	Professional		$108.81	$139.02	$370.72