Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.35 / $550.14 / $574.37	Facility		$242.35	$550.14	$574.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.80 / $242.35 / $574.37	Professional		$141.80	$242.35	$574.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $326.54 / $675.48 / $1,528.02	Facility		$326.54	$675.48	$1,528.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $221.60 / $316.99 / $2,135.48	Professional		$221.60	$316.99	$2,135.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.77 / $174.77 / $174.77	Facility		$174.77	$174.77	$174.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.58 / $127.58 / $174.77	Professional		$127.58	$127.58	$174.77
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $176.08 / $354.28 / $801.56	Facility		$176.08	$354.28	$801.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.27 / $354.28 / $593.30	Professional		$176.27	$354.28	$593.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $257.29 / $285.88 / $314.46	Professional		$257.29	$285.88	$314.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $276.95 / $321.06 / $372.93	Facility		$276.95	$321.06	$372.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $283.60 / $335.64 / $372.93	Professional		$283.60	$335.64	$372.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $326.54 / $418.81 / $728.36	Facility		$326.54	$418.81	$728.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $354.95 / $364.18 / $364.18	Facility		$354.95	$364.18	$364.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $316.99 / $410.22	Professional		$296.25	$316.99	$410.22
United Facility/Professional Professional Modifier Low / Median / High Price $139.54 / $210.24 / $266.22	Professional		$139.54	$210.24	$266.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.86 / $72.86 / $170.68	Professional		$72.86	$72.86	$170.68