Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.05 / $510.82 / $10,122.46	Facility		$48.05	$510.82	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $63.52 / $208.91	Professional		$21.03	$63.52	$208.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $90.80 / $140.38	Professional		$40.09	$90.80	$140.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $68.86 / $98.42	Facility		$55.00	$68.86	$98.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $92.87 / $374.00	Professional		$31.21	$92.87	$374.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $644.92 / $1,110.00 / $1,110.00	Facility		$644.92	$1,110.00	$1,110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $63.08 / $134.52	Professional		$28.47	$63.08	$134.52
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $59.06 / $131.19	Facility		$32.17	$59.06	$131.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.00 / $64.68 / $133.83	Professional		$33.00	$64.68	$133.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $50.31 / $90.97	Professional		$9.02	$50.31	$90.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.02 / $91.18 / $101.17	Facility		$37.02	$91.18	$101.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.86 / $68.86 / $69.01	Facility		$68.86	$68.86	$69.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $69.01 / $126.49	Professional		$31.08	$69.01	$126.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $59.69 / $116.87	Professional		$29.57	$59.69	$116.87
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $81.59 / $147.24	Professional		$63.83	$81.59	$147.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $23.00 / $55.75	Professional		$23.00	$23.00	$55.75