Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $73.72 / $313.39	Facility		$30.78	$73.72	$313.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $26.61 / $62.69	Professional		$18.78	$26.61	$62.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $63.50 / $143.82	Facility		$42.58	$63.50	$143.82
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $57.14 / $265.64	Professional		$31.27	$57.14	$265.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.00 / $108.00 / $115.00	Facility		$106.00	$108.00	$115.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $45.72 / $105.73	Professional		$29.34	$45.72	$105.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.48 / $40.33 / $80.34	Facility		$28.48	$40.33	$80.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $40.50 / $74.81	Professional		$28.48	$40.50	$74.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $20.55 / $25.23	Professional		$16.61	$20.55	$25.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $58.29 / $63.65	Facility		$41.16	$58.29	$63.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $57.15 / $84.46	Facility		$42.58	$57.15	$84.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $59.64 / $79.73	Professional		$43.80	$59.64	$79.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.24 / $47.43 / $86.66	Facility		$40.24	$47.43	$86.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $32.78 / $54.60	Professional		$30.89	$32.78	$54.60
United Facility/Professional Professional Modifier Low / Median / High Price $26.12 / $33.92 / $89.50	Professional		$26.12	$33.92	$89.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $34.61 / $34.61	Professional		$31.37	$34.61	$34.61