Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $129.81 / $212.75	Professional		$76.19	$129.81	$212.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $192.63 / $682.81 / $682.81	Facility		$192.63	$682.81	$682.81
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $313.38 / $1,078.13	Professional		$129.38	$313.38	$1,078.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $167.19 / $220.37	Professional		$85.07	$167.19	$220.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $135.78 / $230.00 / $407.64	Facility		$135.78	$230.00	$407.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $244.38 / $410.44	Professional		$143.75	$244.38	$410.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $140.73 / $152.54	Professional		$75.00	$140.73	$152.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $143.75 / $143.75 / $215.63	Facility		$143.75	$143.75	$215.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $129.38 / $129.38	Professional		$129.38	$129.38	$129.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.27 / $255.23 / $305.64	Professional		$147.27	$255.23	$305.64
United Facility/Professional Professional Modifier Low / Median / High Price $86.25 / $122.19 / $293.27	Professional		$86.25	$122.19	$293.27