Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.01 / $116.34 / $281.39	Facility		$48.01	$116.34	$281.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $58.46 / $75.58	Professional		$48.01	$58.46	$75.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $83.81 / $210.99	Facility		$53.62	$83.81	$210.99
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $99.98 / $383.03	Professional		$45.96	$99.98	$383.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $82.34 / $132.80	Facility		$32.22	$82.34	$132.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $57.28 / $69.69	Professional		$27.00	$57.28	$69.69
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.53 / $63.84 / $146.16	Facility		$50.53	$63.84	$146.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $75.06 / $140.97	Professional		$51.07	$75.06	$140.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $51.07 / $107.25	Facility		$51.07	$51.07	$107.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $89.37 / $153.21	Facility		$51.07	$89.37	$153.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.96 / $63.84 / $77.12	Professional		$45.96	$63.84	$77.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $83.81 / $140.44	Facility		$53.62	$83.81	$140.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $99.53 / $118.42	Professional		$56.48	$99.53	$118.42
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $21.45 / $57.20	Professional		$21.45	$21.45	$57.20