Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $79.94 / $216.00	Facility		$32.97	$79.94	$216.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $26.30 / $51.44	Professional		$24.56	$26.30	$51.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $24.37	Professional		$21.05	$21.05	$24.37
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $70.18 / $166.68	Facility		$36.84	$70.18	$166.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $40.45 / $194.24	Professional		$18.48	$40.45	$194.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $63.64 / $90.61	Facility		$24.19	$63.64	$90.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $40.20 / $55.09	Professional		$21.84	$40.20	$55.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $51.35 / $108.42	Facility		$35.09	$51.35	$108.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $61.61 / $108.42	Professional		$35.09	$61.61	$108.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $35.09 / $75.00	Professional		$35.09	$35.09	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $73.69	Facility		$35.09	$35.09	$73.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $52.64 / $96.50	Facility		$35.09	$52.64	$96.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $42.11 / $49.83	Professional		$31.58	$42.11	$49.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $57.90 / $96.50	Facility		$40.35	$57.90	$96.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $61.48 / $86.32	Professional		$31.63	$61.48	$86.32
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $14.74 / $39.29	Professional		$14.74	$14.74	$39.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $15.79 / $18.18	Professional		$15.79	$15.79	$18.18