Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $37.31 / $37.31	Facility		$37.31	$37.31	$37.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $36.97 / $37.31	Professional		$33.92	$36.97	$37.31
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $85.00 / $120.00	Facility		$33.92	$85.00	$120.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $144.00	Professional		$33.92	$33.92	$144.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.00 / $32.00 / $67.84	Facility		$32.00	$32.00	$67.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $41.60	Professional		$33.92	$33.92	$41.60
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $45.79	Facility		$33.92	$33.92	$45.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $45.79	Professional		$33.92	$33.92	$45.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $75.00	Professional		$50.00	$50.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $32.96 / $33.92 / $70.55	Facility		$32.96	$33.92	$70.55
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $33.92 / $33.92	Professional		$32.22	$33.92	$33.92
United Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $40.70	Professional		$33.92	$33.92	$40.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Professional		$33.92	$33.92	$33.92