Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.47 / $192.42 / $281.86	Facility		$146.47	$192.42	$281.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $113.85 / $257.81	Professional		$85.45	$113.85	$257.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $163.77 / $431.45 / $431.45	Facility		$163.77	$431.45	$431.45
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $224.00 / $702.61	Professional		$131.44	$224.00	$702.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.56 / $182.76 / $303.01	Professional		$99.56	$182.76	$303.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $97.93 / $187.00 / $263.68	Facility		$97.93	$187.00	$263.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.55 / $174.75 / $263.12	Professional		$93.55	$174.75	$263.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $98.23 / $151.81	Professional		$45.00	$98.23	$151.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.13 / $209.71 / $219.76	Facility		$152.13	$209.71	$219.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.94 / $149.94 / $149.94	Facility		$149.94	$149.94	$149.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.94 / $223.43 / $291.36	Professional		$149.94	$223.43	$291.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $136.47 / $163.77 / $233.86	Facility		$136.47	$163.77	$233.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $191.48 / $268.14	Professional		$131.44	$191.48	$268.14
United Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $178.20 / $315.89	Professional		$116.82	$178.20	$315.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.10 / $99.76 / $117.52	Professional		$91.10	$99.76	$117.52