Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.25 / $574.88 / $600.20	Facility		$253.25	$574.88	$600.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.55 / $253.25 / $600.20	Professional		$177.55	$253.25	$600.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $328.61 / $1,209.77 / $1,717.61	Facility		$328.61	$1,209.77	$1,717.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $243.80 / $322.75 / $3,824.46	Professional		$243.80	$322.75	$3,824.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $205.09 / $205.09	Facility		$205.09	$205.09	$205.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.72 / $149.72 / $205.09	Professional		$149.72	$149.72	$205.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.29 / $375.29 / $907.50	Facility		$199.29	$375.29	$907.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.50 / $365.09 / $672.75	Professional		$199.50	$365.09	$672.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $258.93 / $287.70 / $316.47	Professional		$258.93	$287.70	$316.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $297.89 / $337.76 / $375.29	Facility		$297.89	$337.76	$375.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $317.05 / $375.29 / $375.29	Professional		$317.05	$375.29	$375.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $328.61 / $421.46 / $732.98	Facility		$328.61	$421.46	$732.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $357.20 / $366.49 / $366.49	Facility		$357.20	$366.49	$366.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $298.13 / $319.00 / $412.82	Professional		$298.13	$319.00	$412.82
United Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $158.43 / $301.77	Professional		$146.24	$158.43	$301.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $93.67 / $319.00	Professional		$93.67	$93.67	$319.00