Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $97.90 / $384.55	Facility		$55.10	$97.90	$384.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $55.10 / $93.39	Professional		$40.79	$55.10	$93.39
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $93.79 / $242.18	Facility		$61.55	$93.79	$242.18
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $127.79 / $439.65	Professional		$52.76	$127.79	$439.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $120.02 / $152.40	Facility		$29.64	$120.02	$152.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.66 / $61.97 / $79.95	Professional		$29.66	$61.97	$79.95
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $54.25 / $72.52 / $162.21	Facility		$54.25	$72.52	$162.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.97 / $84.15 / $162.21	Professional		$57.97	$84.15	$162.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.17 / $57.38 / $75.00	Professional		$52.17	$57.38	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $58.62 / $123.10	Facility		$58.62	$58.62	$123.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $102.59 / $175.86	Facility		$58.62	$102.59	$175.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $52.76 / $52.76	Professional		$52.76	$52.76	$52.76
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.55 / $93.79 / $161.21	Facility		$61.55	$93.79	$161.21
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $113.81 / $136.22	Professional		$64.83	$113.81	$136.22
United Facility/Professional Facility Modifier Low / Median / High Price $58.62 / $70.34 / $70.34	Facility		$58.62	$70.34	$70.34
United Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $24.62 / $65.65	Professional		$24.62	$24.62	$65.65