Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.40 / $62.20 / $64.94	Facility		$27.40	$62.20	$64.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.62 / $27.40 / $65.66	Professional		$15.62	$27.40	$65.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.36 / $218.60 / $218.60	Facility		$42.36	$218.60	$218.60
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $42.72 / $248.81	Professional		$32.39	$42.72	$248.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $29.06 / $29.06	Facility		$29.06	$29.06	$29.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $36.34	Professional		$24.70	$24.70	$36.34
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $39.46 / $51.16 / $88.93	Facility		$39.46	$51.16	$88.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.46 / $53.46 / $88.93	Professional		$39.46	$53.46	$88.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.37 / $37.08 / $40.78	Professional		$33.37	$37.08	$40.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $47.25 / $48.38	Facility		$38.39	$47.25	$48.38
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $41.12 / $48.38 / $48.38	Professional		$41.12	$48.38	$48.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.15 / $42.36 / $78.34	Facility		$40.15	$42.36	$78.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $45.83 / $69.54	Professional		$40.15	$45.83	$69.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $41.12 / $53.22	Professional		$38.42	$41.12	$53.22
United Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $22.02 / $39.14	Professional		$18.96	$22.02	$39.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $28.35 / $28.35	Professional		$21.47	$28.35	$28.35