Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.92 / $266.20 / $492.17	Facility		$242.92	$266.20	$492.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $238.98 / $286.77	Professional		$236.62	$238.98	$286.77
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $226.28 / $344.51 / $1,165.59	Facility		$226.28	$344.51	$1,165.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $260.27 / $1,029.23	Professional		$236.62	$260.27	$1,029.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $233.12 / $565.32	Facility		$223.22	$233.12	$565.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $290.19	Professional		$236.62	$236.62	$290.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $214.28 / $276.49 / $644.21	Facility		$214.28	$276.49	$644.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.74 / $260.64 / $519.62	Professional		$230.74	$260.64	$519.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $256.43 / $314.71	Professional		$70.00	$256.43	$314.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $236.61 / $267.87 / $608.55	Facility		$236.61	$267.87	$608.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.65 / $347.89 / $633.58	Facility		$203.65	$347.89	$633.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.31 / $296.89 / $536.60	Professional		$246.31	$296.89	$536.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $229.67 / $275.60 / $480.97	Facility		$229.67	$275.60	$480.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $260.27 / $283.94	Professional		$236.62	$260.27	$283.94
United Facility/Professional Professional Modifier Low / Median / High Price $236.62 / $236.62 / $283.94	Professional		$236.62	$236.62	$283.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $233.12 / $236.62 / $236.62	Professional		$233.12	$236.62	$236.62