Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.78 / $372.95 / $954.17	Facility		$162.78	$372.95	$954.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.78 / $162.78 / $356.33	Professional		$162.78	$162.78	$356.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $181.83 / $303.05 / $826.74	Facility		$181.83	$303.05	$826.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $170.73 / $402.48 / $1,423.97	Professional		$170.73	$402.48	$1,423.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.88 / $354.56 / $506.52	Facility		$119.88	$354.56	$506.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $194.57 / $254.57	Professional		$108.09	$194.57	$254.57
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $173.17 / $255.06 / $536.62	Facility		$173.17	$255.06	$536.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $339.84 / $541.94	Professional		$173.17	$339.84	$541.94
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 $201.92 / $336.73 / $402.48	Professional		$201.92	$336.73	$402.48
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $141.54 / $261.51	Professional		$103.90	$141.54	$261.51