Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.40 / $83.35 / $109.66	Facility		$62.40	$83.35	$109.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.52 / $48.00 / $66.83	Professional		$39.52	$48.00	$66.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $211.96 / $211.96	Facility		$64.78	$211.96	$211.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $77.92 / $393.30	Professional		$48.21	$77.92	$393.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $83.18 / $140.26	Professional		$48.87	$83.18	$140.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $71.13 / $71.13	Professional		$71.13	$71.13	$71.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $32.57 / $45.54	Professional		$32.57	$32.57	$45.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $67.83 / $92.25 / $95.81	Facility		$67.83	$92.25	$95.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.78 / $64.78 / $64.78	Facility		$64.78	$64.78	$64.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $102.51 / $127.90	Professional		$58.52	$102.51	$127.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $66.06 / $93.98	Professional		$61.23	$66.06	$93.98
United Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $87.23 / $141.33	Professional		$59.22	$87.23	$141.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $45.68 / $49.10	Professional		$38.65	$45.68	$49.10