Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.09 / $429.23 / $448.14	Facility		$189.09	$429.23	$448.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.38 / $189.09 / $448.14	Professional		$150.38	$189.09	$448.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $245.36 / $687.54 / $1,399.37	Facility		$245.36	$687.54	$1,399.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $196.15 / $260.23 / $1,867.14	Professional		$196.15	$260.23	$1,867.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.91 / $159.91 / $159.91	Facility		$159.91	$159.91	$159.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.74 / $116.74 / $214.38	Professional		$116.74	$116.74	$214.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $161.07 / $280.20 / $733.12	Facility		$161.07	$280.20	$733.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $161.24 / $283.08 / $543.66	Professional		$161.24	$283.08	$543.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.32 / $214.80 / $236.28	Professional		$193.32	$214.80	$236.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $222.41 / $268.56 / $280.20	Facility		$222.41	$268.56	$280.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $222.59 / $280.20 / $280.20	Professional		$222.59	$280.20	$280.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.36 / $314.69 / $547.28	Facility		$245.36	$314.69	$547.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $266.70 / $273.64 / $273.64	Facility		$266.70	$273.64	$273.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $222.59 / $238.18 / $308.23	Professional		$222.59	$238.18	$308.23
United Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $127.89 / $243.60	Professional		$118.05	$127.89	$243.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.65 / $118.65 / $155.87	Professional		$118.65	$118.65	$155.87