Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $57.55 / $57.55	Facility		$57.55	$57.55	$57.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.59 / $65.62 / $92.50	Professional		$56.59	$65.62	$92.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $113.35 / $344.74 / $344.74	Facility		$113.35	$344.74	$344.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $154.63 / $574.88	Professional		$79.97	$154.63	$574.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $61.30 / $61.30	Professional		$61.30	$61.30	$61.30
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $60.07 / $100.82 / $169.63	Facility		$60.07	$100.82	$169.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $100.57 / $169.63	Professional		$60.07	$100.57	$169.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $104.55 / $135.58 / $140.69	Facility		$104.55	$135.58	$140.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.14 / $94.22 / $94.22	Facility		$94.14	$94.22	$94.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.88 / $157.03 / $190.11	Professional		$98.88	$157.03	$190.11
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $96.10 / $130.80 / $175.78	Professional		$96.10	$130.80	$175.78
United Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $110.16 / $199.87	Professional		$75.06	$110.16	$199.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.87 / $56.87 / $72.20	Professional		$56.87	$56.87	$72.20