Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $93.91 / $140.87	Professional		$80.14	$93.91	$140.87
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $325.37 / $752.92	Facility		$15.65	$325.37	$752.92
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $156.52 / $560.00	Professional		$99.37	$156.52	$560.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $98.45	Facility		$98.45	$98.45	$98.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $98.45 / $186.00	Professional		$83.68	$98.45	$186.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $160.28 / $160.28 / $160.28	Facility		$160.28	$160.28	$160.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.28 / $160.28 / $160.28	Professional		$160.28	$160.28	$160.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $50.00 / $160.28	Professional		$16.03	$50.00	$160.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $152.27 / $156.52 / $176.31	Facility		$152.27	$156.52	$176.31
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $144.25 / $160.28 / $176.31	Professional		$144.25	$160.28	$176.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $15.65 / $156.52	Facility		$15.65	$15.65	$156.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $156.52 / $180.00	Professional		$13.30	$156.52	$180.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $156.52 / $156.52 / $156.52	Facility		$156.52	$156.52	$156.52
United Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $59.86 / $106.43	Facility		$7.32	$59.86	$106.43
United Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $79.81 / $133.04	Professional		$79.81	$79.81	$133.04