Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.03 / $45.03 / $45.03	Facility		$45.03	$45.03	$45.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $45.03 / $50.52	Professional		$25.18	$45.03	$50.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $81.63 / $110.98 / $208.63	Facility		$81.63	$110.98	$208.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $175.66 / $713.55	Professional		$91.02	$175.66	$713.55
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $128.30 / $321.62	Facility		$38.03	$128.30	$321.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.96 / $251.96 / $251.96	Professional		$251.96	$251.96	$251.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $50.00	Professional		$45.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $91.00 / $136.40 / $166.16	Facility		$91.00	$136.40	$166.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.72 / $55.72 / $113.34	Facility		$55.72	$55.72	$113.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $175.61 / $224.96	Professional		$113.34	$175.61	$224.96
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $106.87 / $204.42	Facility		$77.98	$106.87	$204.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.78 / $159.12 / $219.60	Professional		$87.78	$159.12	$219.60
United Facility/Professional Professional Modifier Low / Median / High Price $54.12 / $84.87 / $226.88	Professional		$54.12	$84.87	$226.88