Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.27 / $169.65 / $721.39	Facility		$40.27	$169.65	$721.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $42.84 / $98.72	Professional		$36.43	$42.84	$98.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $74.97 / $204.03	Facility		$44.98	$74.97	$204.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $93.39 / $352.23	Professional		$38.56	$93.39	$352.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $87.73 / $137.47	Facility		$29.64	$87.73	$137.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $48.10 / $61.61	Professional		$26.75	$48.10	$61.61
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $62.97 / $133.00	Facility		$42.84	$62.97	$133.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $75.59 / $133.00	Professional		$42.84	$75.59	$133.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.13 / $41.94 / $75.00	Professional		$38.13	$41.94	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $89.96	Facility		$42.84	$42.84	$89.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $74.97 / $128.52	Facility		$42.84	$74.97	$128.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.56 / $38.56 / $38.56	Professional		$38.56	$38.56	$38.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $70.69 / $117.81	Facility		$44.98	$70.69	$117.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $83.42 / $99.85	Professional		$49.95	$83.42	$99.85
United Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $42.84 / $42.84	Facility		$32.32	$42.84	$42.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $24.51 / $47.98	Professional		$17.98	$24.51	$47.98