Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.56 / $543.79 / $567.76	Facility		$239.56	$543.79	$567.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.34 / $239.56 / $567.76	Professional		$183.34	$239.56	$567.76
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $322.79 / $1,623.77 / $1,623.77	Facility		$322.79	$1,623.77	$1,623.77
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $262.44 / $405.49 / $2,697.53	Professional		$262.44	$405.49	$2,697.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $257.41 / $302.83	Professional		$257.41	$257.41	$302.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $193.11 / $366.72 / $678.86	Facility		$193.11	$366.72	$678.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.54 / $376.00 / $723.23	Professional		$214.54	$376.00	$723.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $368.63 / $368.63	Professional		$60.00	$368.63	$368.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $331.77 / $359.99 / $368.63	Facility		$331.77	$359.99	$368.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.79 / $322.79 / $596.86	Facility		$322.79	$322.79	$596.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.10 / $405.49 / $405.49	Professional		$269.10	$405.49	$405.49
United Facility/Professional Facility Modifier Low / Median / High Price $130.99 / $224.66 / $261.98	Facility		$130.99	$224.66	$261.98
United Facility/Professional Professional Modifier Low / Median / High Price $170.01 / $255.02 / $324.36	Professional		$170.01	$255.02	$324.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.67 / $313.33 / $313.33	Professional		$204.67	$313.33	$313.33