Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $76.84 / $265.80	Facility		$45.35	$76.84	$265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $45.35 / $76.84	Professional		$27.16	$45.35	$76.84
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.65 / $77.18 / $187.90	Facility		$50.65	$77.18	$187.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $100.34 / $361.80	Professional		$43.42	$100.34	$361.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $98.78 / $126.01	Facility		$24.31	$98.78	$126.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $50.89 / $65.67	Professional		$24.39	$50.89	$65.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44.64 / $59.64 / $133.40	Facility		$44.64	$59.64	$133.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $69.30 / $133.40	Professional		$47.74	$69.30	$133.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $47.22 / $75.00	Professional		$42.93	$47.22	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $48.24 / $91.32	Facility		$48.24	$48.24	$91.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.24 / $84.42 / $144.72	Facility		$48.24	$84.42	$144.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $43.42 / $43.42	Professional		$43.42	$43.42	$43.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $50.65 / $77.18 / $132.66	Facility		$50.65	$77.18	$132.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $93.61 / $112.23	Professional		$53.35	$93.61	$112.23
United Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.60 / $54.03	Professional		$20.26	$20.60	$54.03