Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $25.28 / $42.30	Professional		$15.69	$25.28	$42.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $22.09 / $36.00	Professional		$18.30	$22.09	$36.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $26.27 / $84.42	Facility		$26.27	$26.27	$84.42
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $41.85 / $381.28	Professional		$19.94	$41.85	$381.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $33.06 / $57.04	Professional		$16.91	$33.06	$57.04
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $28.45 / $46.90	Facility		$22.31	$28.45	$46.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $30.04 / $47.42	Professional		$22.96	$30.04	$47.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $14.37 / $28.13	Professional		$10.65	$14.37	$28.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $37.52 / $39.44	Facility		$26.26	$37.52	$39.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $26.27 / $26.27	Facility		$26.27	$26.27	$26.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $43.31 / $51.70	Professional		$19.27	$43.31	$51.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $21.03 / $37.99	Professional		$19.94	$21.03	$37.99
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $31.35 / $56.43	Professional		$20.07	$31.35	$56.43