Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.23 / $228.01 / $356.51	Facility		$61.23	$228.01	$356.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $22.57 / $42.13	Professional		$20.04	$22.57	$42.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $69.48 / $152.01	Facility		$45.60	$69.48	$152.01
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $88.61 / $325.73	Professional		$39.09	$88.61	$325.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.17 / $92.32 / $112.14	Facility		$45.17	$92.32	$112.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.09 / $43.43 / $73.83	Facility		$39.09	$43.43	$73.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $43.43 / $108.58	Professional		$39.09	$43.43	$108.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.09 / $47.77 / $76.00	Facility		$39.09	$47.77	$76.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $76.00 / $134.63	Facility		$43.43	$76.00	$134.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.09 / $54.29 / $65.58	Professional		$39.09	$54.29	$65.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.60 / $69.48 / $119.43	Facility		$45.60	$69.48	$119.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $84.18 / $100.62	Professional		$48.03	$84.18	$100.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $48.64	Professional		$18.23	$18.23	$48.64