Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.11 / $840.15 / $877.16	Facility		$370.11	$840.15	$877.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.05 / $370.11 / $877.16	Professional		$311.05	$370.11	$877.16
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $480.22 / $1,314.69 / $2,792.04	Facility		$480.22	$1,314.69	$2,792.04
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $400.35 / $508.62 / $3,321.60	Professional		$400.35	$508.62	$3,321.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $324.30	Facility		$324.30	$324.30	$324.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $409.93	Professional		$236.74	$236.74	$409.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $326.69 / $556.05 / $1,485.93	Facility		$326.69	$556.05	$1,485.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.04 / $559.39 / $1,101.40	Professional		$327.04	$559.39	$1,101.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $378.37 / $420.42 / $462.46	Professional		$378.37	$420.42	$462.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $435.33 / $535.57 / $555.45	Facility		$435.33	$535.57	$555.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $435.67 / $548.41 / $555.45	Professional		$435.67	$548.41	$555.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.22 / $615.91 / $1,071.14	Facility		$480.22	$615.91	$1,071.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $522.00 / $535.57 / $535.57	Facility		$522.00	$535.57	$535.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $435.67 / $466.16 / $603.26	Professional		$435.67	$466.16	$603.26
United Facility/Professional Professional Modifier Low / Median / High Price $239.39 / $279.29 / $493.99	Professional		$239.39	$279.29	$493.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $187.35 / $187.35 / $308.60	Professional		$187.35	$187.35	$308.60