Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.85 / $122.63 / $14,464.32	Facility		$59.85	$122.63	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.71 / $112.89	Professional		$40.74	$53.71	$112.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $67.04 / $183.18	Facility		$55.00	$67.04	$183.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $108.37 / $389.19	Professional		$68.23	$108.37	$389.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $95.36 / $150.01	Professional		$58.90	$95.36	$150.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.30 / $86.34 / $115.04	Facility		$46.30	$86.34	$115.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $88.77 / $118.12	Professional		$49.61	$88.77	$118.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $110.96 / $180.72	Professional		$17.11	$110.96	$180.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.89 / $91.12 / $101.17	Facility		$65.89	$91.12	$101.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $67.04 / $69.01	Facility		$67.04	$67.04	$69.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $94.20 / $131.94	Professional		$67.18	$94.20	$131.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $88.15 / $123.18	Professional		$64.08	$88.15	$123.18
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $107.62 / $143.85	Professional		$64.23	$107.62	$143.85