Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.13 / $50.13 / $331.70	Facility		$50.13	$50.13	$331.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $39.49 / $50.13	Professional		$27.05	$39.49	$50.13
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $155.87 / $558.33 / $1,155.54	Facility		$155.87	$558.33	$1,155.54
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $107.23 / $372.60	Professional		$34.44	$107.23	$372.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $35.19 / $35.19	Professional		$35.19	$35.19	$35.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.27 / $61.44 / $153.16	Facility		$38.27	$61.44	$153.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $58.30 / $112.33	Professional		$38.27	$58.30	$112.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $88.17 / $137.77	Professional		$55.11	$88.17	$137.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.40 / $84.56 / $85.76	Facility		$70.40	$84.56	$85.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.98 / $57.98 / $58.50	Facility		$57.98	$57.98	$58.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $97.40 / $119.81	Professional		$60.62	$97.40	$119.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $440.79 / $603.74 / $1,155.54	Facility		$440.79	$603.74	$1,155.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $78.72 / $111.36	Professional		$59.14	$78.72	$111.36
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $69.17 / $123.60	Professional		$42.95	$69.17	$123.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $85.84 / $85.84	Professional		$48.87	$85.84	$85.84