Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.85 / $810.05 / $845.73	Facility		$356.85	$810.05	$845.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.65 / $356.85 / $845.73	Professional		$249.65	$356.85	$845.73
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $463.03 / $1,013.53 / $2,218.98	Facility		$463.03	$1,013.53	$2,218.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $312.06 / $449.47 / $3,204.05	Professional		$312.06	$449.47	$3,204.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $273.20	Facility		$273.20	$273.20	$273.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.44 / $199.44 / $307.94	Professional		$199.44	$199.44	$307.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $260.26 / $502.35 / $1,184.06	Facility		$260.26	$502.35	$1,184.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.54 / $502.35 / $877.15	Professional		$260.54	$502.35	$877.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $364.84 / $405.38 / $445.91	Professional		$364.84	$405.38	$445.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $419.74 / $475.91 / $528.79	Facility		$419.74	$475.91	$528.79
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $445.80 / $490.38 / $528.79	Professional		$445.80	$490.38	$528.79
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $463.03 / $593.86 / $1,032.80	Facility		$463.03	$593.86	$1,032.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $503.31 / $516.40 / $516.40	Facility		$503.31	$516.40	$516.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $420.08 / $449.47 / $581.66	Professional		$420.08	$449.47	$581.66
United Facility/Professional Professional Modifier Low / Median / High Price $190.72 / $222.50 / $393.54	Professional		$190.72	$222.50	$393.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.10 / $130.10 / $242.12	Professional		$130.10	$130.10	$242.12