Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.83 / $231.15 / $241.34	Facility		$101.83	$231.15	$241.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.52 / $101.83 / $176.17	Professional		$90.52	$101.83	$176.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $132.13 / $359.39 / $804.59	Facility		$132.13	$359.39	$804.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $150.36 / $1,001.98	Professional		$110.16	$150.36	$1,001.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.79 / $97.79 / $97.79	Facility		$97.79	$97.79	$97.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.39 / $71.39 / $97.79	Professional		$71.39	$71.39	$97.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $95.09 / $160.72 / $413.51	Facility		$95.09	$160.72	$413.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $162.00 / $320.24	Professional		$95.19	$162.00	$320.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $115.68 / $127.24	Professional		$104.11	$115.68	$127.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $119.79 / $147.36 / $201.20	Facility		$119.79	$147.36	$201.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $135.81 / $150.90 / $201.20	Professional		$135.81	$150.90	$201.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.13 / $169.46 / $294.72	Facility		$132.13	$169.46	$294.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $143.63 / $147.36 / $147.36	Facility		$143.63	$147.36	$147.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $128.27 / $165.99	Professional		$119.88	$128.27	$165.99
United Facility/Professional Facility Modifier Low / Median / High Price $58.01 / $74.61 / $96.39	Facility		$58.01	$74.61	$96.39
United Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $87.01 / $143.63	Professional		$69.61	$87.01	$143.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $23.42 / $91.38	Professional		$23.42	$23.42	$91.38