Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.55 / $362.18 / $378.13	Facility		$159.55	$362.18	$378.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.97 / $159.55 / $378.13	Professional		$129.97	$159.55	$378.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $207.02 / $491.73 / $1,128.10	Facility		$207.02	$491.73	$1,128.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $168.38 / $206.90 / $1,219.95	Professional		$168.38	$206.90	$1,219.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $135.22	Facility		$135.22	$135.22	$135.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.72 / $98.72 / $179.29	Professional		$98.72	$98.72	$179.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $143.52 / $245.09 / $647.88	Facility		$143.52	$245.09	$647.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.59 / $248.99 / $459.26	Professional		$151.59	$248.99	$459.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.13 / $181.25 / $199.37	Professional		$18.13	$181.25	$199.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $187.68 / $230.88 / $244.97	Facility		$187.68	$230.88	$244.97
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $212.78 / $236.42 / $260.06	Professional		$212.78	$236.42	$260.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.02 / $265.51 / $461.76	Facility		$207.02	$265.51	$461.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $225.03 / $230.88 / $230.88	Facility		$225.03	$230.88	$230.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $187.82 / $200.96 / $260.06	Professional		$187.82	$200.96	$260.06
United Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $107.97 / $205.99	Professional		$99.82	$107.97	$205.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $200.96 / $200.96	Professional		$131.80	$200.96	$200.96