Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.03 / $94.01 / $240.51	Facility		$41.03	$94.01	$240.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $44.87 / $69.54	Professional		$41.03	$44.87	$69.54
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $45.83 / $76.39 / $152.78	Facility		$45.83	$76.39	$152.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $43.03 / $82.20 / $327.38	Professional		$43.03	$82.20	$327.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.39 / $89.37 / $127.67	Facility		$45.39	$89.37	$127.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $49.19 / $59.41	Professional		$27.30	$49.19	$59.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $64.50 / $149.06	Facility		$43.65	$64.50	$149.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.40 / $134.69	Professional		$43.65	$77.40	$134.69
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 $43.65 / $43.65 / $91.67	Facility		$43.65	$43.65	$91.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $76.39 / $130.94	Facility		$43.65	$76.39	$130.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $54.56 / $65.91	Professional		$39.29	$54.56	$65.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $45.83 / $72.02 / $120.04	Facility		$45.83	$72.02	$120.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $84.85 / $101.39	Professional		$50.90	$84.85	$101.39
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $18.32 / $48.89	Professional		$18.32	$18.32	$48.89