Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.88 / $663.75 / $1,605.39	Facility		$273.88	$663.75	$1,605.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.56 / $273.88 / $464.17	Professional		$183.56	$273.88	$464.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $305.93 / $466.18 / $1,203.72	Facility		$305.93	$466.18	$1,203.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $569.41 / $2,185.19	Professional		$262.22	$569.41	$2,185.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $303.01 / $619.33 / $752.31	Facility		$303.01	$619.33	$752.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $308.11 / $412.16	Professional		$139.10	$308.11	$412.16
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $364.20 / $996.56	Facility		$291.36	$364.20	$996.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.36 / $495.31 / $900.62	Professional		$291.36	$495.31	$900.62
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 $291.36 / $291.36 / $437.04	Facility		$291.36	$291.36	$437.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $291.36 / $509.88 / $874.08	Facility		$291.36	$509.88	$874.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $364.20 / $439.95	Professional		$262.22	$364.20	$439.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $305.93 / $466.18 / $801.24	Facility		$305.93	$466.18	$801.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $322.24 / $567.04 / $677.25	Professional		$322.24	$567.04	$677.25
United Facility/Professional Professional Modifier Low / Median / High Price $122.37 / $122.37 / $326.32	Professional		$122.37	$122.37	$326.32