Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.74 / $406.79 / $909.75	Facility		$267.74	$406.79	$909.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.26 / $202.76 / $539.24	Professional		$141.26	$202.76	$539.24
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $303.06 / $455.38 / $1,046.03	Facility		$303.06	$455.38	$1,046.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $222.53 / $398.09 / $1,906.50	Professional		$222.53	$398.09	$1,906.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $106.00 / $225.00	Facility		$60.00	$106.00	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.49 / $339.55 / $692.28	Professional		$207.49	$339.55	$692.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $172.48 / $262.99 / $530.04	Facility		$172.48	$262.99	$530.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.48 / $262.99 / $494.84	Professional		$172.48	$262.99	$494.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.89 / $354.51 / $624.56	Professional		$64.89	$354.51	$624.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $291.50 / $376.20 / $458.28	Facility		$291.50	$376.20	$458.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.06 / $410.40 / $606.48	Facility		$303.06	$410.40	$606.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $313.02 / $492.00 / $596.89	Professional		$313.02	$492.00	$596.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $287.61 / $341.54 / $510.85	Facility		$287.61	$341.54	$510.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $224.18 / $235.98 / $398.09	Professional		$224.18	$235.98	$398.09
United Facility/Professional Professional Modifier Low / Median / High Price $216.31 / $283.19 / $552.47	Professional		$216.31	$283.19	$552.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.59 / $249.52 / $249.52	Professional		$227.59	$249.52	$249.52