Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $877.22 / $915.86	Facility		$386.44	$877.22	$915.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.98 / $386.44 / $915.86	Professional		$307.98	$386.44	$915.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $1,132.42 / $2,837.20	Facility		$520.71	$1,132.42	$2,837.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $423.47 / $520.41 / $3,067.43	Professional		$423.47	$520.41	$3,067.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $401.27 / $401.27	Facility		$401.27	$401.27	$401.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.93 / $292.93 / $401.27	Professional		$292.93	$292.93	$401.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $342.61 / $594.66 / $1,558.12	Facility		$342.61	$594.66	$1,558.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.99 / $602.16 / $1,155.19	Professional		$342.99	$602.16	$1,155.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $410.29 / $455.88 / $501.46	Professional		$410.29	$455.88	$501.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $535.20 / $594.66 / $615.95	Facility		$535.20	$594.66	$615.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $520.71 / $667.84 / $1,161.46	Facility		$520.71	$667.84	$1,161.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $566.01 / $580.73 / $580.73	Facility		$566.01	$580.73	$580.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $472.41 / $505.47 / $654.14	Professional		$472.41	$505.47	$654.14
United Facility/Professional Professional Modifier Low / Median / High Price $271.54 / $407.30 / $518.04	Professional		$271.54	$407.30	$518.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $505.47 / $505.47	Professional		$350.00	$505.47	$505.47