Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.58 / $779.93 / $3,884.36	Facility		$343.58	$779.93	$3,884.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.79 / $343.58 / $814.29	Professional		$262.79	$343.58	$814.29
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $462.95 / $2,275.37 / $2,275.37	Facility		$462.95	$2,275.37	$2,275.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $368.12 / $578.14 / $3,838.80	Professional		$368.12	$578.14	$3,838.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $420.61	Facility		$420.61	$420.61	$420.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $357.52 / $420.61	Professional		$357.52	$357.52	$420.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $268.14 / $509.28 / $943.01	Facility		$268.14	$509.28	$943.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $297.89 / $528.70 / $1,004.58	Professional		$297.89	$528.70	$1,004.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $448.41 / $498.24 / $561.22	Professional		$448.41	$498.24	$561.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $475.83 / $516.30 / $576.28	Facility		$475.83	$516.30	$576.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $462.95 / $462.95 / $856.04	Facility		$462.95	$462.95	$856.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $385.95 / $581.57 / $581.57	Professional		$385.95	$581.57	$581.57
United Facility/Professional Professional Modifier Low / Median / High Price $236.12 / $354.19 / $450.49	Professional		$236.12	$354.19	$450.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $284.26 / $449.40 / $449.40	Professional		$284.26	$449.40	$449.40