Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.31 / $313.95 / $327.80	Facility		$138.31	$313.95	$327.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.85 / $138.31 / $327.80	Professional		$118.85	$138.31	$327.80
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $179.46 / $426.12 / $977.65	Facility		$179.46	$426.12	$977.65
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $179.34 / $1,056.91	Professional		$145.91	$179.34	$1,056.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.11 / $149.11 / $149.11	Facility		$149.11	$149.11	$149.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $108.85 / $149.11	Professional		$108.85	$108.85	$149.11
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $116.48 / $204.94 / $537.17	Facility		$116.48	$204.94	$537.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $204.94 / $398.02	Professional		$117.84	$204.94	$398.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $204.94 / $204.94	Professional		$60.00	$204.94	$204.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.66 / $200.14 / $212.23	Facility		$162.66	$200.14	$212.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $184.45 / $204.94 / $212.23	Professional		$184.45	$204.94	$212.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.46 / $230.16 / $400.28	Facility		$179.46	$230.16	$400.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $195.07 / $200.14 / $200.14	Facility		$195.07	$200.14	$200.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $162.80 / $174.20 / $225.43	Professional		$162.80	$174.20	$225.43
United Facility/Professional Professional Modifier Low / Median / High Price $86.51 / $100.93 / $178.52	Professional		$86.51	$100.93	$178.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $111.51 / $111.51 / $111.51	Professional		$111.51	$111.51	$111.51