Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.03 / $72.38 / $163.69	Professional		$69.03	$72.38	$163.69
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $671.25 / $671.25	Facility		$100.00	$671.25	$671.25
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $113.82 / $163.56	Professional		$13.16	$113.82	$163.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $122.74	Facility		$93.52	$93.52	$122.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $122.74	Professional		$79.48	$93.52	$122.74
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $132.85 / $132.85 / $132.85	Facility		$132.85	$132.85	$132.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.85 / $132.85 / $132.85	Professional		$132.85	$132.85	$132.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.28 / $122.86 / $135.14	Professional		$98.28	$122.86	$135.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $132.85 / $144.76 / $158.13	Facility		$132.85	$144.76	$158.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $126.21 / $132.85 / $158.13	Professional		$126.21	$132.85	$158.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $121.17 / $121.17	Facility		$12.11	$121.17	$121.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $125.45 / $244.29	Professional		$10.97	$125.45	$244.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $128.97 / $128.97 / $128.97	Facility		$128.97	$128.97	$128.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $10.81 / $10.81 / $13.16	Professional		$10.81	$10.81	$13.16
United Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $68.65 / $131.94	Professional		$62.84	$68.65	$131.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.46 / $98.46 / $98.46	Professional		$98.46	$98.46	$98.46