Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.78 / $320.58 / $954.17	Facility		$162.78	$320.58	$954.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.81 / $162.78 / $320.58	Professional		$141.81	$162.78	$320.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $181.83 / $284.17 / $797.01	Facility		$181.83	$284.17	$797.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $170.73 / $377.51 / $1,298.78	Professional		$170.73	$377.51	$1,298.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.04 / $314.07 / $506.52	Facility		$103.04	$314.07	$506.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $194.23 / $236.31	Professional		$103.47	$194.23	$236.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $255.06 / $529.17	Facility		$173.17	$255.06	$529.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $318.83 / $536.62	Professional		$173.17	$318.83	$536.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $169.53 / $183.76	Professional		$75.00	$169.53	$183.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $173.17 / $363.66	Facility		$173.17	$173.17	$363.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $303.05 / $519.51	Facility		$173.17	$303.05	$519.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.85 / $155.85 / $155.85	Professional		$155.85	$155.85	$155.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $181.83 / $285.73 / $476.22	Facility		$181.83	$285.73	$476.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $336.73 / $402.48	Professional		$191.53	$336.73	$402.48
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $121.85 / $261.51	Professional		$103.90	$121.85	$261.51