Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.14 / $34.14 / $34.14	Facility		$34.14	$34.14	$34.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $30.48 / $37.22	Professional		$15.60	$30.48	$37.22
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $151.40 / $151.40	Facility		$42.13	$151.40	$151.40
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.81 / $67.43 / $288.14	Professional		$36.81	$67.43	$288.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.45 / $25.72 / $34.18	Professional		$20.45	$25.72	$34.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.41 / $103.41 / $103.41	Professional		$103.41	$103.41	$103.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.20 / $62.31 / $67.00	Facility		$40.20	$62.31	$67.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $70.76 / $90.71	Professional		$45.70	$70.76	$90.71
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $66.58	Facility		$66.58	$66.58	$66.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.97 / $57.00 / $81.92	Professional		$42.97	$57.00	$81.92
United Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $60.44 / $92.58	Professional		$37.20	$60.44	$92.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $32.03 / $32.03	Professional		$32.03	$32.03	$32.03