Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $65.45 / $103.54	Facility		$39.35	$65.45	$103.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $44.82 / $65.45	Professional		$29.08	$44.82	$65.45
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $61.24 / $69.45 / $137.78	Facility		$61.24	$69.45	$137.78
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $82.87 / $310.49	Professional		$42.04	$82.87	$310.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.49 / $66.63 / $120.93	Professional		$40.49	$66.63	$120.93
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $47.58 / $83.37	Facility		$28.16	$47.58	$83.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $45.90 / $79.47	Professional		$28.16	$45.90	$79.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $99.31 / $161.42	Professional		$18.59	$99.31	$161.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $50.05 / $83.60 / $101.84	Facility		$50.05	$83.60	$101.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $65.69 / $69.45	Facility		$65.69	$65.69	$69.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $72.19 / $119.53	Professional		$43.68	$72.19	$119.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $66.98 / $107.54	Professional		$42.04	$66.98	$107.54
United Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $84.11 / $140.97	Professional		$63.36	$84.11	$140.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $29.64 / $42.79 / $57.14	Professional		$29.64	$42.79	$57.14