Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.49 / $52.05 / $81.72	Facility		$33.49	$52.05	$81.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $43.57 / $76.26	Professional		$23.06	$43.57	$76.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $361.80 / $800.58	Facility		$55.00	$361.80	$800.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $56.62 / $338.34	Professional		$31.64	$56.62	$338.34
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $44.30 / $89.49 / $104.37	Professional	50	$44.30	$89.49	$104.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $47.07 / $90.27	Professional		$24.55	$47.07	$90.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $63.64 / $132.26	Facility		$30.68	$63.64	$132.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $57.68 / $115.48	Professional		$28.70	$57.68	$115.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $15.42 / $28.67	Professional		$1.10	$15.42	$28.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.94 / $58.27 / $96.29	Facility		$36.94	$58.27	$96.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $40.32 / $40.67	Facility		$40.32	$40.32	$40.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $46.40 / $74.79	Professional		$30.65	$46.40	$74.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $234.74 / $361.80 / $692.47	Facility		$234.74	$361.80	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.35 / $43.71 / $73.02	Professional		$28.35	$43.71	$73.02
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.63 / $66.73 / $87.12	Professional		$37.63	$66.73	$87.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $24.29 / $32.38	Professional		$18.55	$24.29	$32.38