Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.40 / $93.09 / $307.13	Facility		$52.40	$93.09	$307.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $52.40 / $89.36	Professional		$39.77	$52.40	$89.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $89.41 / $230.28	Facility		$58.53	$89.41	$230.28
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $121.51 / $418.05	Professional		$50.17	$121.51	$418.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $89.85 / $144.91	Facility		$28.91	$89.85	$144.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $58.85 / $75.94	Professional		$28.21	$58.85	$75.94
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $69.13 / $154.63	Facility		$53.01	$69.13	$154.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $80.09 / $154.63	Professional		$55.18	$80.09	$154.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $54.57 / $75.00	Professional		$49.61	$54.57	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $55.74 / $117.05	Facility		$55.74	$55.74	$117.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.74 / $97.55 / $167.22	Facility		$55.74	$97.55	$167.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $50.17 / $50.17	Professional		$50.17	$50.17	$50.17
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $89.18 / $153.29	Facility		$58.53	$89.18	$153.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.65 / $108.42 / $129.26	Professional		$61.65	$108.42	$129.26
United Facility/Professional Professional Modifier Low / Median / High Price $23.41 / $23.89 / $62.43	Professional		$23.41	$23.89	$62.43