Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $43.30 / $101.88	Facility		$43.30	$43.30	$101.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $43.30 / $43.30	Professional		$40.75	$43.30	$43.30
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $69.90 / $2,036.20	Facility		$43.69	$69.90	$2,036.20
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $227.88 / $305.63	Professional		$44.58	$227.88	$305.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $57.74	Facility		$28.87	$28.87	$57.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Professional		$28.87	$28.87	$28.87
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $66.69 / $106.80	Facility		$37.20	$66.69	$106.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $61.10 / $99.30	Professional		$37.20	$61.10	$99.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $44.58 / $75.00	Professional		$40.53	$44.58	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $69.37 / $70.34	Facility		$57.75	$69.37	$70.34
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.69 / $52.43 / $113.59	Facility		$43.69	$52.43	$113.59
United Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $48.64	Professional		$40.53	$40.53	$48.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $40.53	Professional		$40.53	$40.53	$40.53