Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $157.88 / $10,122.46	Facility		$22.65	$157.88	$10,122.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $21.46 / $48.60	Professional		$11.54	$21.46	$48.60
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $22.95 / $36.18 / $92.25	Professional	50	$22.95	$36.18	$92.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $6.25 / $10.73 / $18.26	Professional	52	$6.25	$10.73	$18.26
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.50 / $4.29 / $7.30	Professional	53	$2.50	$4.29	$7.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $24.74 / $31.46	Professional		$15.73	$24.74	$31.46
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $22.32 / $37.32 / $51.14	Professional	50	$22.32	$37.32	$51.14
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $162.93 / $331.58	Facility		$55.00	$162.93	$331.58
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $36.49 / $140.93	Professional		$21.94	$36.49	$140.93
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $19.86 / $44.09 / $46.50	Professional	50	$19.86	$44.09	$46.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $32.79 / $52.38	Professional		$18.00	$32.79	$52.38
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.39 / $29.60 / $204.18	Facility		$16.39	$29.60	$204.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $28.78 / $40.86	Professional		$16.39	$28.78	$40.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.04 / $10.46 / $15.72	Professional		$1.04	$10.46	$15.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $26.80 / $32.15	Facility		$19.07	$26.80	$32.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $20.39 / $21.94	Facility		$20.39	$20.39	$21.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.58 / $35.00 / $44.99	Professional		$22.58	$35.00	$44.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $129.22 / $173.34 / $331.58	Facility		$129.22	$173.34	$331.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $31.23 / $42.50	Professional		$20.79	$31.23	$42.50
United Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $666.00 / $6,216.00	Facility		$190.00	$666.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $27.72 / $44.42	Professional		$17.61	$27.72	$44.42