Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $168.18 / $384.00	Facility		$65.98	$168.18	$384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $63.18 / $83.95	Professional		$54.32	$63.18	$83.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $70.20	Professional		$42.12	$42.12	$70.20
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $116.99 / $334.95	Facility		$73.70	$116.99	$334.95
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $146.01 / $577.21	Professional		$59.67	$146.01	$577.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.58 / $143.72 / $225.32	Facility		$48.58	$143.72	$225.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $78.56 / $103.19	Professional		$43.86	$78.56	$103.19
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $103.19 / $216.88	Facility		$70.20	$103.19	$216.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $124.20 / $216.88	Professional		$70.20	$124.20	$216.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $68.72 / $75.00	Professional		$62.48	$68.72	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $70.20 / $147.41	Facility		$70.20	$70.20	$147.41
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.18 / $70.20 / $177.67	Facility		$63.18	$70.20	$177.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $63.18 / $63.18	Professional		$63.18	$63.18	$63.18
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $115.83 / $193.05	Facility		$73.70	$115.83	$193.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $136.71 / $163.31	Professional		$81.84	$136.71	$163.31
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $40.15 / $78.62	Professional		$29.48	$40.15	$78.62