Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $40.50 / $44.27	Facility		$40.50	$40.50	$44.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $29.71 / $47.25	Professional		$21.53	$29.71	$47.25
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $105.96 / $105.96	Facility		$49.94	$105.96	$105.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $39.26 / $195.30	Professional		$24.53	$39.26	$195.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $38.29 / $69.84	Professional		$22.00	$38.29	$69.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $27.76 / $54.76	Facility		$21.70	$27.76	$54.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $27.76 / $45.24	Professional		$20.72	$27.76	$45.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $47.69 / $50.92	Facility		$30.77	$47.69	$50.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Facility		$33.97	$33.97	$33.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $52.54 / $65.61	Professional		$29.63	$52.54	$65.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $49.94 / $49.94 / $49.94	Facility		$49.94	$49.94	$49.94
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $34.65 / $49.99	Professional		$30.72	$34.65	$49.99
United Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $49.37 / $75.25	Professional		$28.88	$49.37	$75.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $24.49 / $26.49	Professional		$20.71	$24.49	$26.49