Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $45.17 / $89.46	Professional		$27.12	$45.17	$89.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $57.17 / $67.23	Professional		$18.17	$57.17	$67.23
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $155.94 / $155.94	Facility		$52.48	$155.94	$155.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $113.70 / $360.21	Professional		$50.09	$113.70	$360.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $40.99 / $68.83	Professional		$19.04	$40.99	$68.83
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44.98 / $78.95 / $143.26	Facility		$44.98	$78.95	$143.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $82.95 / $143.26	Professional		$49.91	$82.95	$143.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $105.77 / $184.73	Professional		$18.01	$105.77	$184.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $60.78 / $101.17 / $110.55	Facility		$60.78	$101.17	$110.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $86.42 / $143.04	Professional		$49.25	$86.42	$143.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $47.59 / $77.62 / $116.81	Professional		$47.59	$77.62	$116.81
United Facility/Professional Professional Modifier Low / Median / High Price $32.70 / $46.33 / $111.19	Professional		$32.70	$46.33	$111.19