Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.69 / $41.90 / $42.42	Facility		$30.69	$41.90	$42.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $29.79 / $41.91	Professional		$21.77	$29.79	$41.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $107.50 / $107.50	Facility		$42.58	$107.50	$107.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $58.74 / $200.17	Professional		$30.74	$58.74	$200.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $49.21 / $89.64	Professional		$28.48	$49.21	$89.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $32.65 / $60.51	Facility		$21.90	$32.65	$60.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $31.29 / $54.57	Professional		$21.90	$31.29	$54.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $47.78 / $85.28	Professional		$10.32	$47.78	$85.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.71 / $61.19 / $64.31	Facility		$36.71	$61.19	$64.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $42.58 / $42.58	Facility		$42.58	$42.58	$42.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $57.12 / $80.58	Professional		$36.99	$57.12	$80.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $63.92 / $63.92	Facility		$63.92	$63.92	$63.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $47.75 / $68.16	Professional		$32.79	$47.75	$68.16
United Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $22.97 / $25.27	Facility		$18.38	$22.97	$25.27
United Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $55.52 / $91.20	Professional		$39.18	$55.52	$91.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $26.78 / $35.06	Professional		$23.12	$26.78	$35.06