Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.01 / $161.94 / $181.35	Facility		$136.01	$161.94	$181.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $128.13 / $175.41	Professional		$102.08	$128.13	$175.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $168.97 / $547.98 / $547.98	Facility		$168.97	$547.98	$547.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $128.61 / $190.07 / $1,027.95	Professional		$128.61	$190.07	$1,027.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $192.36 / $342.30	Professional		$110.00	$192.36	$342.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $111.91 / $151.94 / $284.43	Facility		$111.91	$151.94	$284.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $147.25 / $257.14	Professional		$107.24	$147.25	$257.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $193.55 / $348.11	Professional		$38.26	$193.55	$348.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.08 / $247.23 / $257.56	Facility		$153.08	$247.23	$257.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.97 / $168.97 / $168.97	Facility		$168.97	$168.97	$168.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $265.39 / $336.96	Professional		$170.00	$265.39	$336.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $347.24 / $347.24 / $532.74	Facility		$347.24	$347.24	$532.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.32 / $171.86 / $249.27	Professional		$148.32	$171.86	$249.27
United Facility/Professional Professional Modifier Low / Median / High Price $125.76 / $206.17 / $384.43	Professional		$125.76	$206.17	$384.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $108.49 / $126.30 / $138.53	Professional		$108.49	$126.30	$138.53