Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $61.09 / $63.78	Facility		$26.91	$61.09	$63.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $28.98 / $64.03	Professional		$26.91	$28.98	$64.03
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.50 / $95.78 / $263.91	Facility		$64.50	$95.78	$263.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $40.10 / $609.54	Professional		$39.15	$40.10	$609.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.25 / $19.25 / $19.25	Professional		$19.25	$19.25	$19.25
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $45.50 / $75.30 / $167.71	Facility		$45.50	$75.30	$167.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $78.30 / $167.71	Professional		$46.33	$78.30	$167.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $46.07 / $60.00	Professional		$30.00	$46.07	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $47.18 / $51.90	Facility		$46.07	$47.18	$51.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $82.62 / $122.55	Facility		$41.31	$82.62	$122.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $46.07 / $52.98	Professional		$39.15	$46.07	$52.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $40.10 / $47.18	Professional		$38.10	$40.10	$47.18
United Facility/Professional Professional Modifier Low / Median / High Price $20.01 / $24.06 / $38.17	Professional		$20.01	$24.06	$38.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $40.10 / $47.18	Professional		$40.10	$40.10	$47.18