Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $104.08 / $226.52	Professional		$98.11	$104.08	$226.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $937.40 / $937.40	Facility		$18.27	$937.40	$937.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $159.02 / $233.92	Professional		$117.73	$159.02	$233.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $171.51	Facility		$130.68	$130.68	$171.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $205.20	Professional		$111.08	$130.68	$205.20
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.72 / $199.72 / $199.72	Facility		$199.72	$199.72	$199.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.72 / $199.72 / $199.72	Professional		$199.72	$199.72	$199.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $167.86 / $205.17	Professional		$75.00	$167.86	$205.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $196.22 / $199.72 / $228.44	Facility		$196.22	$199.72	$228.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $179.75 / $199.72 / $225.78	Professional		$179.75	$199.72	$225.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $182.67 / $182.67	Facility		$18.27	$182.67	$182.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $186.32 / $222.98	Professional		$16.48	$186.32	$222.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $193.90 / $193.90 / $193.90	Facility		$193.90	$193.90	$193.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $16.44 / $20.02	Professional		$16.44	$16.44	$20.02
United Facility/Professional Professional Modifier Low / Median / High Price $95.39 / $103.34 / $185.72	Professional		$95.39	$103.34	$185.72