Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.33 / $173.27 / $180.90	Facility		$76.33	$173.27	$180.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $76.33 / $173.27	Professional		$65.56	$76.33	$173.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $99.04 / $193.30 / $539.41	Facility		$99.04	$193.30	$539.41
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $99.04 / $583.01	Professional		$79.18	$99.04	$583.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $70.70	Professional		$51.62	$51.62	$70.70
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $82.46 / $130.08 / $323.06	Facility		$82.46	$130.08	$323.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.46 / $128.63 / $223.03	Professional		$82.46	$128.63	$223.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $86.70 / $95.37	Professional		$78.03	$86.70	$95.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $110.46 / $113.11 / $117.07	Facility		$110.46	$113.11	$117.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $89.84 / $113.11	Professional		$89.84	$89.84	$113.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.89 / $99.04 / $215.40	Facility		$93.89	$99.04	$215.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $107.15 / $162.57	Professional		$93.89	$107.15	$162.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $107.66 / $110.46 / $110.46	Facility		$107.66	$110.46	$110.46
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $96.14 / $124.42	Professional		$89.84	$96.14	$124.42
United Facility/Professional Professional Modifier Low / Median / High Price $49.32 / $54.13 / $98.50	Professional		$49.32	$54.13	$98.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $63.46 / $96.14	Professional		$63.46	$63.46	$96.14