Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.63 / $119.38 / $119.38	Facility		$101.63	$119.38	$119.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $95.78 / $119.38	Professional		$82.72	$95.78	$119.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $171.26 / $529.32	Facility		$140.88	$171.26	$529.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $224.78 / $877.05	Professional		$139.94	$224.78	$877.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.55 / $92.55 / $92.55	Professional		$92.55	$92.55	$92.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $91.28 / $122.31 / $234.54	Facility		$91.28	$122.31	$234.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $122.31 / $218.87	Professional		$91.28	$122.31	$218.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $148.26 / $258.88	Professional		$27.52	$148.26	$258.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $136.69 / $203.92 / $211.48	Facility		$136.69	$203.92	$211.48
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.88 / $140.88 / $142.13	Facility		$140.88	$140.88	$142.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.46 / $220.22 / $282.11	Professional		$144.46	$220.22	$282.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $176.70 / $257.30	Professional		$143.22	$176.70	$257.30
United Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $173.84 / $299.30	Professional		$130.19	$173.84	$299.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.86 / $85.86 / $101.63	Professional		$85.86	$85.86	$101.63