Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.93 / $354.35 / $18,711.00	Facility		$115.93	$354.35	$18,711.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $169.24 / $354.35	Professional		$64.29	$169.24	$354.35
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $247.99 / $363.26 / $442.46	Facility		$247.99	$363.26	$442.46
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $109.29 / $320.06 / $1,237.14	Professional		$109.29	$320.06	$1,237.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $198.16 / $560.86	Professional		$80.14	$198.16	$560.86
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $93.60 / $186.93 / $479.87	Facility		$93.60	$186.93	$479.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.25 / $183.50 / $481.91	Professional		$91.25	$183.50	$481.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $326.08 / $548.67	Professional		$54.61	$326.08	$548.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $159.00 / $355.77 / $399.32	Facility		$159.00	$355.77	$399.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.02 / $362.02 / $553.08	Facility		$260.02	$362.02	$553.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.22 / $260.02 / $509.09	Professional		$113.22	$260.02	$509.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $249.08 / $297.58 / $493.52	Facility		$249.08	$297.58	$493.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $106.08 / $215.80 / $452.66	Professional		$106.08	$215.80	$452.66
United Facility/Professional Professional Modifier Low / Median / High Price $204.63 / $356.61 / $561.33	Professional		$204.63	$356.61	$561.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $70.27 / $228.12	Professional		$70.27	$70.27	$228.12