Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $38.20 / $3,334.50	Facility		$38.20	$38.20	$3,334.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.96 / $38.20 / $38.65	Professional		$35.96	$38.20	$38.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $37.01 / $55.75 / $152.21	Facility		$37.01	$55.75	$152.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $1,816.40 / $1,816.40	Professional		$50.99	$1,816.40	$1,816.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $132.60	Facility		$44.94	$44.94	$132.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $55.12	Professional		$44.94	$44.94	$55.12
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $64.86 / $94.15	Facility		$37.20	$64.86	$94.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $64.86 / $86.88	Professional		$37.20	$64.86	$86.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $60.00 / $75.00	Professional		$30.00	$60.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.51 / $79,999.20 / $79,999.20	Facility		$44.51	$79,999.20	$79,999.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $41.73 / $88.58	Facility		$31.50	$41.73	$88.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.48 / $44.48 / $48.93	Facility		$44.48	$44.48	$48.93
United Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $50.94 / $61.13	Professional		$50.94	$50.94	$61.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Professional		$44.94	$44.94	$44.94