Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $75.00 / $139.76	Professional		$61.68	$75.00	$139.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $142.76 / $160.06	Professional		$52.14	$142.76	$160.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $239.24 / $370.89 / $370.89	Facility		$239.24	$370.89	$370.89
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $223.07 / $678.98	Professional		$116.03	$223.07	$678.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $94.32 / $128.53	Professional		$43.54	$94.32	$128.53
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $84.94 / $155.43 / $247.81	Facility		$84.94	$155.43	$247.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $165.31 / $257.98	Professional		$94.52	$165.31	$257.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $157.43 / $272.69	Professional		$26.67	$157.43	$272.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.64 / $190.28 / $194.34	Facility		$122.64	$190.28	$194.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $192.13 / $247.70	Professional		$116.03	$192.13	$247.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $162.19 / $214.06	Professional		$112.27	$162.19	$214.06
United Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $62.08 / $207.31	Professional		$58.36	$62.08	$207.31