Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.86 / $49.86 / $49.86	Facility		$49.86	$49.86	$49.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $49.86 / $54.30	Professional		$38.13	$49.86	$54.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $56.64 / $184.67 / $184.67	Facility		$56.64	$184.67	$184.67
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $97.91 / $350.48	Professional		$60.52	$97.91	$350.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $64.15 / $64.15	Professional		$64.15	$64.15	$64.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.41 / $126.41 / $126.41	Professional		$126.41	$126.41	$126.41
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 $53.68 / $80.04 / $81.73	Facility		$53.68	$80.04	$81.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $55.75 / $66.14	Facility		$55.75	$55.75	$66.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $94.43 / $116.14	Professional		$64.15	$94.43	$116.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.68 / $57.88 / $62.01	Facility		$51.68	$57.88	$62.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $81.14 / $109.58	Professional		$60.52	$81.14	$109.58
United Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $48.27 / $123.76	Professional		$28.46	$48.27	$123.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.04 / $97.04 / $97.04	Professional		$97.04	$97.04	$97.04