Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $73.98 / $73.98	Facility		$73.98	$73.98	$73.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $61.18 / $73.98	Professional		$46.20	$61.18	$73.98
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $885.11 / $885.11	Facility		$101.38	$885.11	$885.11
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $91.76 / $367.45 / $493.05	Professional		$91.76	$367.45	$493.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Professional		$73.31	$73.31	$73.31
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $59.21 / $132.41 / $1,416.62	Facility		$59.21	$132.41	$1,416.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $106.08 / $160.75	Professional		$58.90	$106.08	$160.75
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 $92.74 / $108.46 / $113.23	Facility		$92.74	$108.46	$113.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $123.38 / $123.38	Professional		$85.00	$123.38	$123.38
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $138.00	Professional		$118.00	$118.00	$138.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00