Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.26 / $722.29 / $1,847.94	Facility		$315.26	$722.29	$1,847.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.29 / $315.26 / $653.99	Professional		$211.29	$315.26	$653.99
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $352.15 / $586.91 / $1,385.59	Facility		$352.15	$586.91	$1,385.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $315.26 / $655.48 / $2,515.35	Professional		$315.26	$655.48	$2,515.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.80 / $743.60 / $1,076.52	Facility		$348.80	$743.60	$1,076.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.27 / $376.74 / $457.44	Professional		$209.27	$376.74	$457.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $335.38 / $493.57 / $1,147.50	Facility		$335.38	$493.57	$1,147.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.38 / $593.10 / $1,037.02	Professional		$335.38	$593.10	$1,037.02
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 $335.38 / $335.38 / $704.30	Facility		$335.38	$335.38	$704.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.38 / $586.91 / $1,006.14	Facility		$335.38	$586.91	$1,006.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.83 / $419.23 / $506.42	Professional		$301.83	$419.23	$506.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $352.15 / $553.38 / $922.30	Facility		$352.15	$553.38	$922.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $391.05 / $652.57 / $780.19	Professional		$391.05	$652.57	$780.19
United Facility/Professional Professional Modifier Low / Median / High Price $140.86 / $192.17 / $375.63	Professional		$140.86	$192.17	$375.63