Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.18 / $61.02 / $59,515.60	Facility		$55.18	$61.02	$59,515.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $56.03 / $66.91	Professional		$55.47	$56.03	$66.91
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.96 / $78.90 / $271.89	Facility		$50.96	$78.90	$271.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $61.02 / $239.05	Professional		$55.47	$61.02	$239.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.33 / $54.14 / $108.76	Facility		$52.33	$54.14	$108.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $68.03	Professional		$55.47	$55.47	$68.03
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $46.53 / $69.34 / $131.22	Facility		$46.53	$69.34	$131.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.02 / $68.00 / $119.42	Professional		$51.02	$68.00	$119.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.38 / $60.83 / $75.00	Professional		$54.38	$60.83	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $55.47 / $93.12	Facility		$52.60	$55.47	$93.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $77.95 / $142.68	Facility		$45.22	$77.95	$142.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $68.95 / $124.64	Professional		$57.20	$68.95	$124.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $61.91 / $112.60	Facility		$52.60	$61.91	$112.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $61.02 / $66.56	Professional		$55.47	$61.02	$66.56
United Facility/Professional Facility Modifier Low / Median / High Price $55.47 / $55.47 / $55.47	Facility		$55.47	$55.47	$55.47
United Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $55.47 / $66.56	Professional		$55.47	$55.47	$66.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $55.47 / $55.47	Professional		$54.14	$55.47	$55.47