Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $336.17 / $588.74 / $1,672.51	Facility		$336.17	$588.74	$1,672.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.34 / $253.75 / $336.17	Professional		$198.34	$253.75	$336.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $350.44 / $496.63 / $1,165.65	Facility		$350.44	$496.63	$1,165.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $271.55 / $487.12 / $2,218.13	Professional		$271.55	$487.12	$2,218.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.31 / $526.60 / $827.03	Professional		$283.31	$526.60	$827.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $221.53 / $368.16 / $682.53	Facility		$221.53	$368.16	$682.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.53 / $347.34 / $629.04	Professional		$221.53	$347.34	$629.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $238.34 / $291.31 / $357.52	Professional		$238.34	$291.31	$357.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $199.18 / $251.59 / $264.83	Facility		$199.18	$251.59	$264.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.43 / $328.43 / $352.35	Facility		$328.43	$328.43	$352.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.35 / $534.91 / $699.37	Professional		$352.35	$534.91	$699.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $347.24 / $465.23 / $856.38	Facility		$347.24	$465.23	$856.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $334.95 / $468.55 / $656.53	Professional		$334.95	$468.55	$656.53
United Facility/Professional Professional Modifier Low / Median / High Price $261.25 / $403.85 / $726.42	Professional		$261.25	$403.85	$726.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $306.12 / $429.88	Professional		$264.83	$306.12	$429.88