Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.90 / $13.96 / $16.46	Professional		$8.90	$13.96	$16.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $14.95 / $60.26	Facility		$14.95	$14.95	$60.26
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $31.18 / $284.63	Professional		$15.68	$31.18	$284.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $20.14 / $37.44	Professional		$10.27	$20.14	$37.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $56.85 / $172.05 / $499.13	Facility		$56.85	$172.05	$499.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $36.97	Professional		$36.97	$36.97	$36.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $8.01 / $21.08	Professional		$7.27	$8.01	$21.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.11 / $30.73	Facility		$18.62	$22.11	$30.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $14.95 / $14.95	Facility		$14.95	$14.95	$14.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $27.18 / $32.65	Professional		$16.45	$27.18	$32.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $15.25 / $22.67 / $29.07	Professional		$15.25	$22.67	$29.07
United Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $17.28 / $31.63	Professional		$12.48	$17.28	$31.63