Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.34 / $119.73 / $454.31	Facility		$34.34	$119.73	$454.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $61.77 / $121.31	Professional		$23.43	$61.77	$121.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $93.32 / $107.50	Facility		$50.00	$93.32	$107.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $95.17 / $476.90	Professional		$33.72	$95.17	$476.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.63 / $77.15 / $170.68	Professional		$30.63	$77.15	$170.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $28.14 / $70.08 / $180.25	Facility		$28.14	$70.08	$180.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $67.89 / $175.09	Professional		$26.95	$67.89	$175.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $106.46 / $183.77	Professional		$18.59	$106.46	$183.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $47.24 / $118.03 / $146.06	Facility		$47.24	$118.03	$146.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.17 / $83.17 / $93.32	Facility		$83.17	$83.17	$93.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $79.63 / $165.09	Professional		$39.86	$79.63	$165.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $72.88 / $140.87	Professional		$33.72	$72.88	$140.87
United Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $123.90 / $190.47	Professional		$80.59	$123.90	$190.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $61.70 / $67.42	Professional		$24.80	$61.70	$67.42