Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $20.90 / $32.90	Professional		$20.90	$20.90	$32.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $76.23 / $181.05 / $181.05	Facility		$76.23	$181.05	$181.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $20.90 / $76.86 / $314.77	Professional		$20.90	$76.86	$314.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $47.06 / $64.01	Professional		$23.89	$47.06	$64.01
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $45.88 / $116.92	Facility		$22.23	$45.88	$116.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $65.68 / $121.76	Professional		$22.23	$65.68	$121.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $19.78 / $23.59	Professional		$10.84	$19.78	$23.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $22.23 / $46.13	Facility		$22.23	$22.23	$46.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $22.23 / $22.23 / $22.23	Professional		$22.23	$22.23	$22.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $20.01 / $20.01	Professional		$20.01	$20.01	$20.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.59 / $73.80 / $87.02	Professional		$24.59	$73.80	$87.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $22.23 / $47.38	Professional		$13.34	$22.23	$47.38