Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $150.30 / $310.44	Professional		$83.73	$150.30	$310.44
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $403.14 / $713.93 / $713.93	Facility		$403.14	$713.93	$713.93
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $319.79 / $1,210.74	Professional		$135.27	$319.79	$1,210.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.19 / $175.07 / $231.58	Professional		$99.19	$175.07	$231.58
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $150.30 / $240.48 / $475.58	Facility		$150.30	$240.48	$475.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $272.26 / $475.58	Professional		$150.30	$272.26	$475.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $147.14 / $159.48	Professional		$75.00	$147.14	$159.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.30 / $150.30 / $235.75	Facility		$150.30	$150.30	$235.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.27 / $135.27 / $135.27	Professional		$135.27	$135.27	$135.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $150.30 / $266.91 / $319.79	Professional		$150.30	$266.91	$319.79
United Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $120.36 / $233.97	Professional		$90.18	$120.36	$233.97