Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $126.90 / $461.10	Facility		$73.48	$126.90	$461.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $202.50	Professional		$73.48	$73.48	$202.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $112.46 / $333.88	Facility		$70.29	$112.46	$333.88
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $119.35 / $527.17	Professional		$41.12	$119.35	$527.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.09 / $149.41 / $181.50	Facility		$73.09	$149.41	$181.50
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45.78 / $70.29 / $175.72	Facility		$45.78	$70.29	$175.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.78 / $73.52 / $175.72	Professional		$45.78	$73.52	$175.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $75.00 / $162.65	Professional		$62.56	$75.00	$162.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.29 / $73.80 / $98.41	Facility		$70.29	$73.80	$98.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $30.94 / $63.26	Facility		$30.94	$30.94	$63.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $79.48 / $99.81	Professional		$63.26	$79.48	$99.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.80 / $117.79 / $193.30	Facility		$73.80	$117.79	$193.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $123.54 / $149.28	Professional		$41.12	$123.54	$149.28
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $34.40 / $81.92	Professional		$12.99	$34.40	$81.92