Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.27 / $715.69 / $747.21	Facility		$315.27	$715.69	$747.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.25 / $315.27 / $747.21	Professional		$251.25	$315.27	$747.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $424.81 / $835.01 / $2,314.59	Facility		$424.81	$835.01	$2,314.59
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $351.74 / $424.81 / $2,502.40	Professional		$351.74	$424.81	$2,502.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $321.50	Facility		$321.50	$321.50	$321.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $321.50	Professional		$234.70	$234.70	$321.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $294.72 / $503.29 / $1,329.40	Facility		$294.72	$503.29	$1,329.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.55 / $511.74 / $942.52	Professional		$311.55	$511.74	$942.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $334.71 / $371.91 / $409.10	Professional		$334.71	$371.91	$409.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $436.64 / $485.15 / $533.66	Facility		$436.64	$485.15	$533.66
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $424.81 / $923.87	Facility		$402.71	$424.81	$923.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.71 / $438.68 / $544.85	Professional		$402.71	$438.68	$544.85
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $461.77 / $473.78 / $473.78	Facility		$461.77	$473.78	$473.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $385.40 / $412.38 / $533.66	Professional		$385.40	$412.38	$533.66
United Facility/Professional Professional Modifier Low / Median / High Price $221.52 / $332.28 / $422.63	Professional		$221.52	$332.28	$422.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.61 / $412.38 / $412.38	Professional		$298.61	$412.38	$412.38