Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $80.95 / $360.00	Facility		$42.08	$80.95	$360.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.44 / $47.23 / $140.01	Professional		$26.44	$47.23	$140.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $41.81 / $41.81	Professional		$41.81	$41.81	$41.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $58.50 / $353.97 / $800.58	Facility		$58.50	$353.97	$800.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $82.12 / $314.16	Professional		$49.31	$82.12	$314.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.07 / $62.72 / $117.98	Professional		$36.07	$62.72	$117.98
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.44 / $63.12 / $104.77	Facility		$34.44	$63.12	$104.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.44 / $60.59 / $100.82	Professional		$34.44	$60.59	$100.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $101.08 / $178.72	Professional		$18.01	$101.08	$178.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $78.39 / $85.76	Facility		$51.20	$78.39	$85.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.81 / $54.81 / $58.50	Facility		$54.81	$54.81	$58.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.81 / $72.88 / $104.66	Professional		$48.81	$72.88	$104.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $220.24 / $353.97 / $692.47	Facility		$220.24	$353.97	$692.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $67.84 / $99.22	Professional		$45.83	$67.84	$99.22
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $67.16 / $119.71	Professional		$48.38	$67.16	$119.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $35.89 / $47.49	Professional		$30.52	$35.89	$47.49