Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.45 / $28.45 / $28.45	Facility		$28.45	$28.45	$28.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $26.98 / $36.47	Professional		$5.12	$26.98	$36.47
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $70.00 / $70.00	Facility		$15.00	$70.00	$70.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $28.50 / $125.00	Professional		$5.55	$28.50	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $23.00 / $40.90	Professional		$19.00	$23.00	$40.90
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $26.84 / $634.96	Facility		$13.50	$26.84	$634.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.50 / $13.50	Professional		$8.51	$13.50	$13.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.60 / $33.21 / $61.50	Professional		$24.60	$33.21	$61.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6.43 / $10.39 / $10.72	Facility		$6.43	$10.39	$10.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $63.79 / $97.86	Facility		$63.79	$63.79	$97.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $28.50 / $28.50	Professional		$28.50	$28.50	$28.50
United Facility/Professional Facility Modifier Low / Median / High Price $100.99 / $110.50 / $141.25	Facility		$100.99	$110.50	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $13.46 / $26.32	Professional		$7.03	$13.46	$26.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $21.90 / $21.90	Professional		$21.90	$21.90	$21.90