Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.71 / $270.67 / $936.15	Facility		$159.71	$270.67	$936.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $102.65 / $233.32	Professional		$96.30	$102.65	$233.32
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $178.40 / $266.74 / $594.65	Facility		$178.40	$266.74	$594.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $315.63 / $1,274.25	Professional		$130.82	$315.63	$1,274.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.53 / $273.89 / $438.72	Facility		$34.53	$273.89	$438.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.89 / $190.56 / $231.85	Professional		$85.89	$190.56	$231.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $214.65 / $525.28	Facility		$167.71	$214.65	$525.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $249.75 / $469.96	Professional		$169.90	$249.75	$469.96
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 $169.90 / $169.90 / $356.79	Facility		$169.90	$169.90	$356.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $271.83 / $509.70	Facility		$152.91	$271.83	$509.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $212.38 / $256.55	Professional		$152.91	$212.38	$256.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $178.40 / $278.81 / $467.23	Facility		$178.40	$278.81	$467.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.91 / $330.67 / $394.74	Professional		$187.91	$330.67	$394.74
United Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $71.36 / $190.29	Professional		$54.19	$71.36	$190.29