Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $46.27 / $97.48	Facility		$13.97	$46.27	$97.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $13.97 / $14.41	Professional		$10.40	$13.97	$14.41
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $24.39 / $61.39	Facility		$15.60	$24.39	$61.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $31.14 / $111.45	Professional		$14.69	$31.14	$111.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $31.59 / $38.36	Facility		$15.46	$31.59	$38.36
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $14.86 / $25.26	Facility		$13.37	$14.86	$25.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $14.86 / $37.15	Professional		$13.37	$14.86	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $13.37 / $16.35 / $26.01	Facility		$13.37	$16.35	$26.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.86 / $26.01 / $46.07	Facility		$14.86	$26.01	$46.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $18.57 / $22.44	Professional		$13.37	$18.57	$22.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $24.39 / $40.86	Facility		$15.60	$24.39	$40.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $29.13 / $36.52	Professional		$17.23	$29.13	$36.52
United Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $6.24 / $16.64	Professional		$6.24	$6.24	$16.64