Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.63 / $33.70 / $56.59	Facility		$21.63	$33.70	$56.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $20.14 / $42.13	Professional		$11.16	$20.14	$42.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $56.02 / $56.02	Facility		$33.97	$56.02	$56.02
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $41.10 / $250.96	Professional		$18.89	$41.10	$250.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $29.96 / $68.22	Professional		$14.96	$29.96	$68.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.68 / $27.56 / $52.96	Facility		$14.68	$27.56	$52.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $27.55 / $52.96	Professional		$14.25	$27.55	$52.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $75.00	Professional		$45.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $40.68 / $50.25	Facility		$27.14	$40.68	$50.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Facility		$33.97	$33.97	$33.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $36.13 / $65.42	Professional		$20.13	$36.13	$65.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.21 / $37.46 / $51.24	Facility		$31.21	$37.46	$51.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $34.35 / $56.96	Professional		$18.41	$34.35	$56.96
United Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $39.04 / $71.31	Professional		$24.85	$39.04	$71.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $20.43 / $27.53	Professional		$12.93	$20.43	$27.53