Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $19.23 / $19.23	Facility		$19.23	$19.23	$19.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.23 / $25.55 / $38.38	Professional		$19.23	$25.55	$38.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44.34 / $122.12 / $122.12	Facility		$44.34	$122.12	$122.12
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $57.27 / $200.85	Professional		$31.88	$57.27	$200.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.97 / $18.97 / $18.97	Professional		$18.97	$18.97	$18.97
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $45.82 / $65.91	Facility		$24.49	$45.82	$65.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $40.25 / $65.91	Professional		$22.21	$40.25	$65.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.95 / $45.58 / $46.23	Facility		$37.95	$45.58	$46.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $52.60 / $64.58	Professional		$33.67	$52.60	$64.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $44.89 / $60.17	Professional		$31.88	$44.89	$60.17
United Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $40.40 / $102.24	Professional		$26.00	$40.40	$102.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $38.00	Professional		$11.11	$11.11	$38.00