Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $37.93 / $39.60	Facility		$16.71	$37.93	$39.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $16.71 / $37.93	Professional		$9.19	$16.71	$37.93
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.90 / $117.05 / $117.05	Facility		$37.90	$117.05	$117.05
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $53.73 / $171.75	Professional		$27.49	$53.73	$171.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $42.18 / $53.81	Facility		$21.08	$42.18	$53.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.46 / $43.50 / $56.27	Professional		$25.46	$43.50	$56.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.00 / $60.00	Professional		$30.00	$50.00	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $38.97 / $39.53	Facility		$25.96	$38.97	$39.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.73 / $26.73 / $26.96	Facility		$26.73	$26.73	$26.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.49 / $44.89 / $53.52	Professional		$28.49	$44.89	$53.52
United Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $12.77 / $21.29	Professional		$11.45	$12.77	$21.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $16.41 / $16.41	Professional		$16.41	$16.41	$16.41