Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.25 / $70.59 / $13,750.00	Facility		$30.25	$70.59	$13,750.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $24.39 / $54.03	Professional		$14.94	$24.39	$54.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $55.00 / $249.58	Facility		$33.82	$55.00	$249.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $44.84 / $3,779.26	Professional		$24.02	$44.84	$3,779.26
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $42.89 / $50.27 / $70.52	Professional	50	$42.89	$50.27	$70.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $35.58 / $64.89	Professional		$21.53	$35.58	$64.89
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $39.40 / $63.96	Facility		$24.00	$39.40	$63.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $39.97 / $68.59	Professional		$24.00	$39.97	$68.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $10.48 / $15.63	Professional		$1.04	$10.48	$15.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.42 / $47.62 / $51.59	Facility		$32.42	$47.62	$51.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $33.82 / $33.97	Facility		$33.82	$33.82	$33.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $39.36 / $62.26	Professional		$24.96	$39.36	$62.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $198.10 / $198.10 / $249.58	Facility		$198.10	$198.10	$249.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $34.65 / $57.28	Professional		$24.02	$34.65	$57.28
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $40.14 / $74.13	Professional		$32.25	$40.14	$74.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $17.37 / $26.44	Professional		$17.37	$17.37	$26.44