Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $57.49 / $80.66	Professional		$34.84	$57.49	$80.66
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.42 / $28.75 / $40.33	Professional	52	$17.42	$28.75	$40.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $67.93 / $70.22 / $216.61	Facility		$67.93	$70.22	$216.61
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $113.12 / $334.05	Professional		$52.05	$113.12	$334.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.58 / $78.41 / $117.61	Professional		$40.58	$78.41	$117.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $75.09 / $135.59	Facility		$53.01	$75.09	$135.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.48 / $81.69 / $127.43	Professional		$54.48	$81.69	$127.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.99 / $52.28 / $92.31	Professional		$8.99	$52.28	$92.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $58.79 / $79.05 / $102.51	Facility		$58.79	$79.05	$102.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.22 / $70.22 / $70.22	Facility		$70.22	$70.22	$70.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $82.93 / $122.44	Professional		$52.05	$82.93	$122.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.31 / $78.23 / $113.12	Professional		$53.31	$78.23	$113.12
United Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $77.48 / $141.88	Professional		$49.51	$77.48	$141.88