Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $47.40 / $49.49	Facility		$20.88	$47.40	$49.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.88 / $49.49	Professional		$15.85	$20.88	$49.49
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $32.27 / $165.95 / $165.95	Facility		$32.27	$165.95	$165.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.48 / $32.44 / $194.85	Professional		$24.48	$32.44	$194.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $22.13 / $22.13	Facility		$18.29	$22.13	$22.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $26.04	Professional		$18.80	$18.80	$26.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $38.72 / $67.05	Facility		$30.13	$38.72	$67.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.13 / $40.72 / $67.05	Professional		$30.13	$40.72	$67.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $28.26 / $31.08	Professional		$25.43	$28.26	$31.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $30.59 / $34.45	Facility		$24.88	$30.59	$34.45
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $27.39 / $31.32 / $33.17	Professional		$27.39	$31.32	$33.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $32.27 / $59.67	Facility		$30.59	$32.27	$59.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $34.90 / $52.97	Professional		$30.59	$34.90	$52.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $31.32 / $38.69	Professional		$29.29	$31.32	$38.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.62 / $29.82	Professional		$14.45	$15.62	$29.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $11.45 / $16.63	Professional		$11.45	$11.45	$16.63