Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.08 / $352.08 / $352.08	Facility		$352.08	$352.08	$352.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $223.72 / $319.02	Professional		$146.38	$223.72	$319.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $260.52 / $906.80 / $906.80	Facility		$260.52	$906.80	$906.80
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $294.16 / $503.46	Professional		$167.55	$294.16	$503.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.68 / $287.57 / $415.60	Professional		$207.68	$287.57	$415.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $360.26 / $584.83	Professional		$55.05	$360.26	$584.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $301.83 / $393.61 / $420.09	Facility		$301.83	$393.61	$420.09
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.52 / $285.39 / $285.39	Facility		$260.52	$285.39	$285.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $450.30 / $545.16	Professional		$285.39	$450.30	$545.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $522.54 / $522.54 / $522.54	Professional		$522.54	$522.54	$522.54
United Facility/Professional Professional Modifier Low / Median / High Price $282.14 / $369.93 / $597.08	Professional		$282.14	$369.93	$597.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $211.20 / $211.20	Professional		$211.20	$211.20	$211.20