Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $83.90 / $192.00	Facility		$33.29	$83.90	$192.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $30.38 / $40.60	Professional		$19.97	$30.38	$40.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $29.83 / $59.65	Professional		$17.55	$29.83	$59.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $58.49 / $144.97	Facility		$36.84	$58.49	$144.97
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $71.59 / $263.18	Professional		$31.58	$71.59	$263.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.93 / $63.64 / $102.65	Facility		$25.93	$63.64	$102.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $39.29 / $50.84	Professional		$21.84	$39.29	$50.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $51.58 / $108.42	Facility		$35.09	$51.58	$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 $31.23 / $34.35 / $75.00	Professional		$31.23	$34.35	$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 / $61.41 / $105.27	Facility		$35.09	$61.41	$105.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $43.86 / $52.99	Professional		$31.58	$43.86	$52.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $57.90 / $96.50	Facility		$36.84	$57.90	$96.50
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $68.02 / $81.27	Professional		$40.92	$68.02	$81.27
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $20.05 / $42.11	Professional		$14.74	$20.05	$42.11