Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.39 / $90.18 / $301.87	Facility		$48.39	$90.18	$301.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $32.99 / $100.54	Professional		$14.40	$32.99	$100.54
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $70.56 / $70.56 / $70.56	Professional	CO	$70.56	$70.56	$70.56
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $95.20 / $214.95	Facility		$61.43	$95.20	$214.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.94 / $81.73 / $404.93	Professional		$45.94	$81.73	$404.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $108.00 / $118.00	Facility		$90.00	$108.00	$118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $66.39 / $114.34	Professional		$38.86	$66.39	$114.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.03 / $52.92 / $117.98	Facility		$35.03	$52.92	$117.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.15 / $53.60 / $111.42	Professional		$36.15	$53.60	$111.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.91 / $99.31 / $175.66	Professional		$18.91	$99.31	$175.66
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.43 / $82.08 / $95.81	Facility		$52.43	$82.08	$95.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $86.54 / $127.89	Facility		$65.23	$86.54	$127.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $90.98 / $121.70	Professional		$65.54	$90.98	$121.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $71.40 / $121.33	Facility		$59.50	$71.40	$121.33
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $49.68 / $85.15	Professional		$46.87	$49.68	$85.15
United Facility/Professional Professional Modifier Low / Median / High Price $38.31 / $50.53 / $126.22	Professional		$38.31	$50.53	$126.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.16 / $53.06 / $53.06	Professional		$47.16	$53.06	$53.06