Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $72.20 / $216.32	Facility		$36.90	$72.20	$216.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $36.90 / $75.58	Professional		$24.82	$36.90	$75.58
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.22 / $68.70 / $186.49	Facility		$41.22	$68.70	$186.49
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $80.11 / $325.62	Professional		$35.33	$80.11	$325.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $63.64 / $112.64	Facility		$24.31	$63.64	$112.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $44.06 / $53.61	Professional		$21.84	$44.06	$53.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $51.35 / $122.00	Facility		$39.26	$51.35	$122.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $62.10 / $114.19	Professional		$39.26	$62.10	$114.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $38.43 / $75.00	Professional		$34.94	$38.43	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $82.45	Facility		$39.26	$39.26	$82.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $68.70 / $117.78	Facility		$39.26	$68.70	$117.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $35.33	Professional		$35.33	$35.33	$35.33
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $41.22 / $64.43 / $107.97	Facility		$41.22	$64.43	$107.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $76.09 / $91.33	Professional		$43.42	$76.09	$91.33
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $20.07 / $43.97	Professional		$16.48	$20.07	$43.97