Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.62 / $381.73 / $976.65	Facility		$166.62	$381.73	$976.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.49 / $177.76 / $364.40	Professional		$142.49	$177.76	$364.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $186.11 / $295.41 / $732.29	Facility		$186.11	$295.41	$732.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $159.53 / $329.49 / $1,329.38	Professional		$159.53	$329.49	$1,329.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.77 / $321.45 / $518.45	Facility		$159.77	$321.45	$518.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $198.94 / $271.57	Professional		$110.64	$198.94	$271.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $261.00 / $606.55	Facility		$177.25	$261.00	$606.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $313.64 / $548.15	Professional		$177.25	$313.64	$548.15
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 $177.25 / $177.25 / $372.23	Facility		$177.25	$177.25	$372.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $310.19 / $531.75	Facility		$177.25	$310.19	$531.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.53 / $221.56 / $267.64	Professional		$159.53	$221.56	$267.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $186.11 / $292.45 / $487.44	Facility		$186.11	$292.45	$487.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.67 / $344.81 / $411.77	Professional		$206.67	$344.81	$411.77
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $74.45 / $198.52	Professional		$74.45	$74.45	$198.52