Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $57.72 / $131.31	Professional		$37.47	$57.72	$131.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $98.03 / $530.95 / $530.95	Facility		$98.03	$530.95	$530.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $11.96 / $90.29 / $139.50	Professional		$11.96	$90.29	$139.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.97 / $73.97 / $97.09	Facility		$73.97	$73.97	$97.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $73.97 / $97.09	Professional		$62.87	$73.97	$97.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $100.15 / $110.16	Professional		$80.12	$100.15	$110.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $115.43 / $127.56	Facility		$107.15	$115.43	$127.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $96.44 / $115.43 / $126.82	Professional		$96.44	$115.43	$126.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.81 / $98.03 / $98.03	Facility		$9.81	$98.03	$98.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $99.99 / $119.63	Professional		$8.84	$99.99	$119.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $104.03 / $104.03 / $104.03	Facility		$104.03	$104.03	$104.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $8.83 / $8.83 / $10.75	Professional		$8.83	$8.83	$10.75
United Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $55.40 / $96.95	Professional		$52.10	$55.40	$96.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $77.95 / $90.29	Professional		$77.95	$77.95	$90.29