Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $21.66 / $34.10	Professional		$19.30	$21.66	$34.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $109.44 / $109.44	Facility		$81.31	$109.44	$109.44
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $52.35 / $172.80	Professional		$20.74	$52.35	$172.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $26.66 / $35.14	Professional		$13.36	$26.66	$35.14
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $36.86 / $65.56	Facility		$21.70	$36.86	$65.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $39.17 / $70.83	Professional		$23.04	$39.17	$70.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $25.34 / $75.00	Professional		$23.04	$25.34	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.04 / $23.04 / $48.38	Facility		$23.04	$23.04	$48.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $20.74 / $20.74	Professional		$20.74	$20.74	$20.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $41.21 / $48.82	Professional		$23.62	$41.21	$48.82
United Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $16.55 / $49.11	Professional		$13.82	$16.55	$49.11