Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.49 / $280.32 / $1,028.98	Facility		$123.49	$280.32	$1,028.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $123.49 / $292.67	Professional		$98.59	$123.49	$292.67
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $185.57 / $395.20 / $836.27	Facility		$185.57	$395.20	$836.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $193.71 / $1,391.78	Professional		$138.71	$193.71	$1,391.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.73 / $67.73 / $67.73	Facility		$67.73	$67.73	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $67.73	Professional		$57.58	$57.58	$67.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $115.68 / $197.54 / $520.71	Facility		$115.68	$197.54	$520.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.83 / $200.11 / $369.06	Professional		$121.83	$200.11	$369.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $161.17 / $179.08 / $201.70	Professional		$161.17	$179.08	$201.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $171.02 / $190.02 / $197.17	Facility		$171.02	$190.02	$197.17
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $150.94 / $150.94	Professional		$150.94	$150.94	$150.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $231.96 / $332.17 / $470.26	Facility		$231.96	$332.17	$470.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $189.91 / $334.61	Professional		$167.82	$189.91	$334.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $180.87 / $185.57 / $185.57	Facility		$180.87	$185.57	$185.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $138.71 / $209.02 / $209.02	Professional		$138.71	$209.02	$209.02
United Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $114.67 / $165.57	Professional		$86.78	$114.67	$165.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.41 / $161.52 / $161.52	Professional		$153.41	$161.52	$161.52