Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.59 / $98.95 / $103.31	Facility		$43.59	$98.95	$103.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $43.59 / $103.31	Professional		$33.61	$43.59	$103.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.74 / $134.84 / $346.37	Facility		$58.74	$134.84	$346.37
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $59.87 / $426.33	Professional		$48.97	$59.87	$426.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $48.15	Facility		$48.15	$48.15	$48.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.15 / $48.15	Professional		$35.15	$35.15	$48.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $40.49 / $68.42 / $183.75	Facility		$40.49	$68.42	$183.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $68.44 / $136.53	Professional		$40.53	$68.44	$136.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $51.42 / $56.56	Professional		$46.27	$51.42	$56.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $53.25 / $64.15 / $67.08	Facility		$53.25	$64.15	$67.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $67.08 / $67.08	Professional		$63.73	$67.08	$67.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.74 / $75.34 / $131.02	Facility		$58.74	$75.34	$131.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.68 / $55.68 / $94.74	Professional		$55.68	$55.68	$94.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $65.51 / $65.51	Facility		$63.85	$65.51	$65.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $53.29 / $57.02 / $73.79	Professional		$53.29	$57.02	$73.79
United Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $45.92 / $61.06	Professional		$32.00	$45.92	$61.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $57.02 / $57.02	Professional		$39.20	$57.02	$57.02