Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $48.48 / $117.25	Facility		$29.33	$48.48	$117.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $26.41 / $55.90	Professional		$18.11	$26.41	$55.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $50.00 / $89.29	Facility		$29.71	$50.00	$89.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.20 / $163.88	Professional		$28.18	$51.20	$163.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $35.36 / $60.39	Professional		$23.31	$35.36	$60.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $56.45 / $62.91	Professional		$56.45	$56.45	$62.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $40.86 / $43.55	Facility		$29.55	$40.86	$43.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $29.71 / $30.80	Facility		$29.71	$29.71	$30.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $45.67 / $58.44	Professional		$28.33	$45.67	$58.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $38.47 / $53.95	Professional		$27.85	$38.47	$53.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $33.64 / $62.77	Professional		$26.88	$33.64	$62.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $20.70 / $23.07	Professional		$20.70	$20.70	$23.07