Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.57 / $36.79 / $64.65	Facility		$33.57	$36.79	$64.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $31.39 / $37.61	Professional		$30.78	$31.39	$37.61
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $30.37 / $44.66 / $157.69	Facility		$30.37	$44.66	$157.69
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $33.86 / $134.18	Professional		$30.78	$33.86	$134.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $30.39 / $63.08	Facility		$29.03	$30.39	$63.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $37.75	Professional		$30.78	$30.78	$37.75
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $47.15 / $94.45	Facility		$30.78	$47.15	$94.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $46.90 / $85.54	Professional		$30.78	$46.90	$85.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $33.85 / $41.95	Professional		$30.78	$33.85	$41.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $30.78 / $52.67	Facility		$29.77	$30.78	$52.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $51.14 / $89.49	Facility		$28.76	$51.14	$89.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $38.70 / $69.95	Professional		$32.11	$38.70	$69.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $35.72 / $66.28	Facility		$29.77	$35.72	$66.28
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $33.86 / $36.93	Professional		$30.78	$33.86	$36.93
United Facility/Professional Professional Modifier Low / Median / High Price $30.78 / $30.78 / $36.94	Professional		$30.78	$30.78	$36.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $30.78 / $30.78	Professional		$30.39	$30.78	$30.78