Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.74 / $750.66 / $1,815.60	Facility		$309.74	$750.66	$1,815.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.69 / $309.74 / $319.62	Professional		$197.69	$309.74	$319.62
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $345.99 / $527.22 / $1,153.28	Facility		$345.99	$527.22	$1,153.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $673.51 / $2,471.33	Professional		$296.56	$673.51	$2,471.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.25 / $535.45 / $850.83	Facility		$175.25	$535.45	$850.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.52 / $358.15 / $481.53	Professional		$162.52	$358.15	$481.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $411.89 / $1,127.81	Facility		$329.51	$411.89	$1,127.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $484.38 / $1,019.22	Professional		$329.51	$484.38	$1,019.22
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 $329.51 / $345.99 / $494.27	Facility		$329.51	$345.99	$494.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $576.64 / $988.53	Facility		$329.51	$576.64	$988.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $411.89 / $497.56	Professional		$296.56	$411.89	$497.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $345.99 / $527.22 / $906.15	Facility		$345.99	$527.22	$906.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $364.44 / $641.13 / $766.26	Professional		$364.44	$641.13	$766.26
United Facility/Professional Facility Modifier Low / Median / High Price $313.02 / $329.51 / $329.51	Facility		$313.02	$329.51	$329.51
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $138.38 / $362.46	Professional		$138.38	$138.38	$362.46