Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $76.08 / $186.62	Facility		$41.38	$76.08	$186.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $62.07	Professional		$41.38	$41.38	$62.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $62.07 / $196.56	Facility		$41.38	$62.07	$196.56
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $84.54 / $310.35	Professional		$37.24	$84.54	$310.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $66.70 / $106.86	Facility		$28.14	$66.70	$106.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $46.26 / $63.25	Professional		$22.90	$46.26	$63.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $51.72 / $141.56	Facility		$41.38	$51.72	$141.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $70.34 / $127.92	Professional		$41.38	$70.34	$127.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.83 / $40.51 / $75.00	Professional		$36.83	$40.51	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $43.45 / $62.07	Facility		$41.38	$43.45	$62.07
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $41.38 / $82.76	Facility		$37.24	$41.38	$82.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $51.73 / $62.48	Professional		$37.24	$51.73	$62.48
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.45 / $66.43 / $113.80	Facility		$43.45	$66.43	$113.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.77 / $80.66 / $95.98	Professional		$45.77	$80.66	$95.98
United Facility/Professional Professional Modifier Low / Median / High Price $27.50 / $27.71 / $48.75	Professional		$27.50	$27.71	$48.75