Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.56 / $291.18 / $887.92	Facility		$163.56	$291.18	$887.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $180.00 / $291.19	Professional		$101.99	$180.00	$291.19
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $338.13 / $496.63 / $846.77	Facility		$338.13	$496.63	$846.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $222.86 / $917.85	Professional		$137.74	$222.86	$917.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $157.66 / $157.66 / $157.66	Facility		$157.66	$157.66	$157.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $136.41 / $220.58 / $410.20	Facility		$136.41	$220.58	$410.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $213.90 / $367.89	Professional		$122.76	$213.90	$367.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.00 / $88.72 / $93.73	Facility		$67.00	$88.72	$93.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $238.58 / $400.00 / $474.68	Professional		$238.58	$400.00	$474.68
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $338.13 / $451.10 / $846.77	Facility		$338.13	$451.10	$846.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.62 / $188.67 / $331.25	Professional		$156.62	$188.67	$331.25
United Facility/Professional Professional Modifier Low / Median / High Price $184.47 / $258.02 / $493.02	Professional		$184.47	$258.02	$493.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.73 / $204.36 / $204.36	Professional		$93.73	$204.36	$204.36