Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $149.44 / $285.29	Facility		$72.20	$149.44	$285.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $31.83 / $74.54	Professional		$27.95	$31.83	$74.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $22.36 / $22.36	Professional		$22.36	$22.36	$22.36
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $65.22 / $177.03	Facility		$39.13	$65.22	$177.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $76.22 / $279.52	Professional		$33.54	$76.22	$279.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $76.31 / $109.04	Facility		$24.19	$76.31	$109.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $41.86 / $55.09	Professional		$21.84	$41.86	$55.09
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $51.35 / $115.22	Facility		$37.27	$51.35	$115.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $62.10 / $114.19	Professional		$37.27	$62.10	$114.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.17 / $36.48 / $75.00	Professional		$33.17	$36.48	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $37.27 / $78.27	Facility		$37.27	$37.27	$78.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $65.22 / $111.81	Facility		$37.27	$65.22	$111.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $46.59 / $56.28	Professional		$33.54	$46.59	$56.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.13 / $61.50 / $102.49	Facility		$39.13	$61.50	$102.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $41.22 / $72.73 / $86.69	Professional		$41.22	$72.73	$86.69
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $15.65 / $41.74	Professional		$15.65	$15.65	$41.74