Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $35.90 / $167.03	Facility		$35.90	$35.90	$167.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $44.90	Professional		$35.92	$35.92	$44.90
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $57.47 / $125.72	Facility		$35.92	$57.47	$125.72
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $73.45 / $269.39	Professional		$34.11	$73.45	$269.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $58.38 / $105.08	Facility		$24.42	$58.38	$105.08
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $35.92 / $180.95	Facility		$32.33	$35.92	$180.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $35.92 / $89.80	Professional		$32.33	$35.92	$89.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $35.92 / $50.29	Facility		$35.92	$35.92	$50.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $62.86 / $107.76	Facility		$35.92	$62.86	$107.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $44.90 / $54.24	Professional		$32.33	$44.90	$54.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $57.74 / $98.78	Facility		$37.72	$57.74	$98.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $70.04 / $83.59	Professional		$39.72	$70.04	$83.59
United Facility/Professional Professional Modifier Low / Median / High Price $15.08 / $15.08 / $40.22	Professional		$15.08	$15.08	$40.22