Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $120.44 / $416.56	Facility		$47.37	$120.44	$416.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.67 / $71.06 / $111.89	Professional		$23.67	$71.06	$111.89
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $124.06 / $359.10	Facility		$75.59	$124.06	$359.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $75.59 / $378.00	Professional		$25.47	$75.59	$378.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.12 / $154.79 / $195.21	Facility		$78.12	$154.79	$195.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $84.81 / $108.93	Professional		$15.27	$84.81	$108.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $79.64 / $209.20	Facility		$32.65	$79.64	$209.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.32 / $93.53 / $205.09	Professional		$40.32	$93.53	$205.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.82 / $58.34 / $75.00	Professional		$53.82	$58.34	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $75.59 / $158.76	Facility		$75.59	$75.59	$158.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.04 / $105.84 / $207.90	Facility		$68.04	$105.84	$207.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.04 / $90.72 / $107.35	Professional		$68.04	$90.72	$107.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $79.38 / $124.06 / $207.90	Facility		$79.38	$124.06	$207.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $132.91 / $185.09	Professional		$56.70	$132.91	$185.09
United Facility/Professional Professional Modifier Low / Median / High Price $12.57 / $31.75 / $84.67	Professional		$12.57	$31.75	$84.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.02 / $34.02 / $39.15	Professional		$34.02	$34.02	$39.15