Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $70.03 / $92.49	Facility		$41.26	$70.03	$92.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $34.76 / $75.83	Professional		$29.58	$34.76	$75.83
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $74.11 / $143.82	Facility		$43.42	$74.11	$143.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $68.86 / $262.13	Professional		$40.46	$68.86	$262.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $56.23 / $93.79	Professional		$32.54	$56.23	$93.79
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $86.69 / $128.31 / $308.72	Facility		$86.69	$128.31	$308.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.71 / $89.71 / $90.79	Professional		$89.71	$89.71	$90.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.51 / $62.45 / $65.28	Facility		$46.51	$62.45	$65.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $43.49 / $43.49	Facility		$43.42	$43.49	$43.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $66.70 / $85.02	Professional		$43.42	$66.70	$85.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.24 / $47.43 / $87.58	Facility		$40.24	$47.43	$87.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $55.57 / $81.40	Professional		$38.64	$55.57	$81.40
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $49.92 / $91.71	Professional		$30.73	$49.92	$91.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $33.29 / $33.29	Professional		$30.96	$33.29	$33.29