Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.23 / $412.93 / $2,598.75	Facility		$174.23	$412.93	$2,598.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $174.23 / $396.67	Professional		$132.43	$174.23	$396.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $234.76 / $1,140.98 / $1,140.98	Facility		$234.76	$1,140.98	$1,140.98
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $184.61 / $291.35 / $1,890.60	Professional		$184.61	$291.35	$1,890.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.78 / $195.78 / $195.78	Facility		$195.78	$195.78	$195.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $166.41 / $195.78	Professional		$166.41	$166.41	$195.78
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $256.88 / $472.82	Facility		$134.47	$256.88	$472.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $268.08 / $503.94	Professional		$149.40	$268.08	$503.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $227.38 / $252.65 / $284.58	Professional		$227.38	$252.65	$284.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $241.28 / $261.81 / $268.08	Facility		$241.28	$261.81	$268.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.76 / $234.76 / $434.08	Facility		$234.76	$234.76	$434.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $195.71 / $294.89 / $294.89	Professional		$195.71	$294.89	$294.89
United Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $177.60 / $225.89	Professional		$118.40	$177.60	$225.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.54 / $227.88 / $227.88	Professional		$142.54	$227.88	$227.88