Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.71 / $122.81 / $235.88	Facility		$89.71	$122.81	$235.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $94.15 / $199.71	Professional		$66.05	$94.15	$199.71
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $114.16 / $170.44 / $322.45	Facility		$114.16	$170.44	$322.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $163.24 / $741.22	Professional		$95.17	$163.24	$741.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $106.00 / $115.00	Facility		$60.00	$106.00	$115.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $126.65 / $234.72	Professional		$75.81	$126.65	$234.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $97.60 / $194.91	Facility		$67.89	$97.60	$194.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $97.60 / $188.40	Professional		$65.09	$97.60	$188.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $100.07 / $177.56	Professional		$18.61	$100.07	$177.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $113.97 / $162.81 / $171.52	Facility		$113.97	$162.81	$171.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.16 / $153.83 / $227.32	Facility		$114.16	$153.83	$227.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $160.08 / $211.09	Professional		$110.42	$160.08	$211.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.16 / $127.83 / $221.67	Facility		$107.16	$127.83	$221.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.17 / $134.46 / $194.43	Professional		$95.17	$134.46	$194.43
United Facility/Professional Professional Modifier Low / Median / High Price $83.45 / $128.44 / $240.82	Professional		$83.45	$128.44	$240.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $76.14 / $93.90	Professional		$69.95	$76.14	$93.90