Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.31 / $94.07 / $222.95	Facility		$78.31	$94.07	$222.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $94.07 / $322.00	Professional		$58.55	$94.07	$322.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $122.07 / $265.45 / $557.39	Facility		$122.07	$265.45	$557.39
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $82.95 / $118.49 / $694.67	Professional		$82.95	$118.49	$694.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $66.37 / $66.37	Facility		$41.64	$66.37	$66.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $66.37	Professional		$48.45	$48.45	$66.37
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $65.97 / $132.43 / $300.00	Facility		$65.97	$132.43	$300.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $132.43 / $221.77	Professional		$66.04	$132.43	$221.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.17 / $106.86 / $117.54	Professional		$96.17	$106.86	$117.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.10 / $120.01 / $139.40	Facility		$102.10	$120.01	$139.40
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $134.28 / $139.40	Professional		$104.55	$134.28	$139.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.07 / $156.55 / $272.26	Facility		$122.07	$156.55	$272.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $132.68 / $136.13 / $136.13	Facility		$132.68	$136.13	$136.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $118.49 / $153.34	Professional		$110.74	$118.49	$153.34
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $52.24 / $99.51	Professional		$48.22	$52.24	$99.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $20.82 / $118.49	Professional		$20.82	$20.82	$118.49