Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $19.01 / $21.47	Facility		$19.01	$19.01	$21.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $23.50 / $34.52	Professional		$18.71	$23.50	$34.52
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $151.53 / $151.53	Facility		$34.88	$151.53	$151.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $48.26 / $190.28	Professional		$27.46	$48.26	$190.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $35.75	Professional		$29.16	$29.16	$35.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $27.76 / $55.33	Facility		$20.77	$27.76	$55.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $27.38 / $50.35	Professional		$20.44	$27.38	$50.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $50.31 / $87.33	Professional		$9.97	$50.31	$87.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $47.82 / $52.36	Facility		$31.60	$47.82	$52.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.88 / $34.88 / $34.88	Facility		$34.88	$34.88	$34.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $51.06 / $66.62	Professional		$34.65	$51.06	$66.62
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.79 / $63.79 / $97.86	Facility		$63.79	$63.79	$97.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $42.43 / $58.89	Professional		$31.88	$42.43	$58.89
United Facility/Professional Facility Modifier Low / Median / High Price $100.99 / $110.50 / $141.25	Facility		$100.99	$110.50	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $50.38 / $73.27	Professional		$31.41	$50.38	$73.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $32.02 / $32.02	Professional		$27.05	$32.02	$32.02