Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.34 / $289.33 / $535.13	Professional		$239.34	$289.33	$535.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $971.72 / $2,250.42	Facility		$42.14	$971.72	$2,250.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.78 / $373.92 / $517.97	Professional		$41.78	$373.92	$517.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $333.25	Facility		$333.25	$333.25	$333.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $411.66	Professional		$283.26	$333.25	$411.66
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $478.68 / $478.68 / $478.68	Facility		$478.68	$478.68	$478.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.68 / $478.68 / $478.68	Professional		$478.68	$478.68	$478.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $389.38 / $428.31	Professional		$75.00	$389.38	$428.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $443.97 / $480.37 / $516.34	Facility		$443.97	$480.37	$516.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $454.75 / $478.68 / $493.30	Professional		$454.75	$478.68	$493.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $42.14 / $534.45	Facility		$42.14	$42.14	$534.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $381.33 / $534.45	Professional		$39.50	$381.33	$534.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $464.74 / $464.74 / $464.74	Facility		$464.74	$464.74	$464.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $34.31 / $41.78	Professional		$34.31	$34.31	$41.78
United Facility/Professional Professional Modifier Low / Median / High Price $231.05 / $238.87 / $459.26	Professional		$231.05	$238.87	$459.26