Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $39.61 / $119.74	Facility		$21.14	$39.61	$119.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $17.79 / $26.63	Professional		$13.79	$17.79	$26.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $99.92 / $99.92	Facility		$30.35	$99.92	$99.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $28.51 / $180.75	Professional		$18.72	$28.51	$180.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $31.47 / $66.13	Professional		$18.78	$31.47	$66.13
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $26.64 / $52.29	Facility		$20.04	$26.64	$52.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $26.63 / $47.66	Professional		$19.88	$26.63	$47.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $44.87 / $84.26	Professional		$10.42	$44.87	$84.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.50 / $44.50 / $45.56	Facility		$27.50	$44.50	$45.56
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.35 / $30.35 / $30.35	Facility		$30.35	$30.35	$30.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $42.11 / $58.30	Professional		$30.43	$42.11	$58.30
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Facility		$44.60	$44.60	$44.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.80 / $23.12 / $34.29	Professional		$19.80	$23.12	$34.29
United Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $24.54 / $64.68	Professional		$22.70	$24.54	$64.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $21.93 / $23.46	Professional		$18.48	$21.93	$23.46