Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.89 / $910.02 / $950.11	Facility		$400.89	$910.02	$950.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.15 / $400.89 / $950.11	Professional		$330.15	$400.89	$950.11
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $520.16 / $1,223.16 / $2,801.35	Facility		$520.16	$1,223.16	$2,801.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $417.50 / $516.80 / $2,991.55	Professional		$417.50	$516.80	$2,991.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $380.61	Facility		$380.61	$380.61	$380.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $381.41	Professional		$277.85	$277.85	$381.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $376.34 / $644.02 / $1,538.45	Facility		$376.34	$644.02	$1,538.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $376.34 / $629.27 / $1,138.64	Professional		$376.34	$629.27	$1,138.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $409.85 / $455.39 / $500.92	Professional		$409.85	$455.39	$500.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $471.55 / $580.12 / $594.04	Facility		$471.55	$580.12	$594.04
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $534.64 / $589.54 / $594.04	Professional		$534.64	$589.54	$594.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.16 / $667.14 / $1,160.24	Facility		$520.16	$667.14	$1,160.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $565.41 / $580.12 / $580.12	Facility		$565.41	$580.12	$580.12
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $471.91 / $504.93 / $653.44	Professional		$471.91	$504.93	$653.44
United Facility/Professional Professional Modifier Low / Median / High Price $247.58 / $278.12 / $510.89	Professional		$247.58	$278.12	$510.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $326.91 / $326.91 / $326.91	Professional		$326.91	$326.91	$326.91