Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.92 / $185.96 / $194.15	Facility		$81.92	$185.96	$194.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $81.92 / $194.15	Professional		$61.57	$81.92	$194.15
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $106.30 / $279.49 / $554.66	Facility		$106.30	$279.49	$554.66
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $104.40 / $639.69	Professional		$77.45	$104.40	$639.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $64.52	Facility		$64.52	$64.52	$64.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $47.10 / $64.52	Professional		$47.10	$47.10	$64.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $121.40 / $295.31	Facility		$65.06	$121.40	$295.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $119.15 / $219.28	Professional		$65.13	$119.15	$219.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $93.07 / $102.37	Professional		$83.76	$93.07	$102.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.36 / $109.95 / $121.40	Facility		$96.36	$109.95	$121.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $109.26 / $120.95 / $121.40	Professional		$109.26	$120.95	$121.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.30 / $136.33 / $237.10	Facility		$106.30	$136.33	$237.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $115.55 / $118.55 / $118.55	Facility		$115.55	$118.55	$118.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $103.19 / $133.54	Professional		$96.45	$103.19	$133.54
United Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $59.54 / $98.28	Professional		$47.63	$59.54	$98.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.16 / $44.16 / $60.47	Professional		$44.16	$44.16	$60.47