Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.78 / $239.83 / $702.14	Facility		$119.78	$239.83	$702.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $119.78 / $188.60	Professional		$80.28	$119.78	$188.60
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $133.80 / $227.33 / $605.29	Facility		$133.80	$227.33	$605.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $248.95 / $955.73	Professional		$114.69	$248.95	$955.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.44 / $205.42 / $357.44	Facility		$114.44	$205.42	$357.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.52 / $142.83 / $173.77	Professional		$69.52	$142.83	$173.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $173.70 / $393.95	Facility		$127.43	$173.70	$393.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $197.10 / $362.44	Professional		$127.43	$197.10	$362.44
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 $127.43 / $127.43 / $267.60	Facility		$127.43	$127.43	$267.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $229.37 / $382.29	Facility		$127.43	$229.37	$382.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.69 / $159.29 / $192.42	Professional		$114.69	$159.29	$192.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $133.80 / $209.11 / $350.43	Facility		$133.80	$209.11	$350.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $247.84 / $296.44	Professional		$140.94	$247.84	$296.44
United Facility/Professional Professional Modifier Low / Median / High Price $53.52 / $63.81 / $142.72	Professional		$53.52	$63.81	$142.72