Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $88.51 / $156.66	Facility		$50.72	$88.51	$156.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.54 / $58.43 / $88.51	Professional		$44.54	$58.43	$88.51
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $116.41 / $450.61 / $925.91	Facility		$116.41	$450.61	$925.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $170.05 / $637.50	Professional		$55.30	$170.05	$637.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.27 / $5.01 / $140.50	Facility		$2.27	$5.01	$140.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.06 / $67.59 / $97.83	Professional		$27.06	$67.59	$97.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $94.50 / $198.11	Facility		$50.85	$94.50	$198.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.85 / $94.50 / $186.18	Professional		$50.85	$94.50	$186.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $5.61 / $9.72	Professional		$3.74	$5.61	$9.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.20 / $108.34 / $258.00	Facility		$90.20	$108.34	$258.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $120.45 / $120.45 / $120.45	Professional		$120.45	$120.45	$120.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $71.70 / $71.70	Professional		$71.70	$71.70	$71.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $289.37 / $473.30 / $920.49	Facility		$289.37	$473.30	$920.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $102.56 / $143.31 / $188.12	Professional		$102.56	$143.31	$188.12
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $33.20 / $79.04	Professional		$21.45	$33.20	$79.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $6.72 / $32.11	Professional		$6.72	$6.72	$32.11