Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $61.52 / $64.23	Facility		$27.10	$61.52	$64.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $27.10 / $64.48	Professional		$15.17	$27.10	$64.48
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $95.12 / $222.35	Facility		$64.95	$95.12	$222.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $40.70 / $348.00	Professional		$39.44	$40.70	$348.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Professional		$19.38	$19.38	$19.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.13 / $67.34 / $98.36	Facility		$38.13	$67.34	$98.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $67.34 / $100.32	Professional		$38.61	$67.34	$100.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $42.75 / $60.00	Professional		$41.76	$42.75	$60.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.40 / $47.51 / $52.26	Facility		$46.40	$47.51	$52.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $83.20 / $123.42	Facility		$41.60	$83.20	$123.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $46.40 / $53.36	Professional		$39.44	$46.40	$53.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $40.38 / $47.51	Professional		$38.36	$40.38	$47.51
United Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $23.66 / $38.44	Professional		$20.14	$23.66	$38.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $40.38 / $47.51	Professional		$40.38	$40.38	$47.51