Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $21.46 / $38.78	Professional		$15.56	$21.46	$38.78
Asuris Northwest Health Facility/Professional Facility Modifier 26 Low / Median / High Price $17.67 / $30.82 / $100.00	Facility	26	$17.67	$30.82	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $39.67 / $261.48	Professional		$17.25	$39.67	$261.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $27.75 / $53.45	Professional		$15.67	$27.75	$53.45
Kaiser Permanente Facility/Professional Facility Modifier 26 Low / Median / High Price $11.63 / $17.29 / $33.45	Facility	26	$11.63	$17.29	$33.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $30.26 / $62.92	Professional		$16.55	$30.26	$62.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.46 / $8.63 / $10.90	Professional		$2.46	$8.63	$10.90
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $17.93 / $24.79 / $26.13	Facility	26	$17.93	$24.79	$26.13
Premera BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $17.67 / $17.67 / $17.67	Facility	26	$17.67	$17.67	$17.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $39.36 / $45.54	Professional		$25.98	$39.36	$45.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $17.25 / $33.33	Professional		$16.39	$17.25	$33.33
United Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $26.32 / $50.71	Professional		$16.50	$26.32	$50.71