Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.18 / $47.00 / $141.16	Facility		$22.18	$47.00	$141.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $24.31 / $83.00	Professional		$14.42	$24.31	$83.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $20.07 / $20.07 / $87.00	Professional	25	$20.07	$20.07	$87.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $22.22 / $28.26	Professional		$13.44	$22.22	$28.26
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $28.51 / $79.97 / $101.68	Facility		$28.51	$79.97	$101.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $33.26 / $358.00	Professional		$19.39	$33.26	$358.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.85 / $29.76 / $48.46	Professional		$16.85	$29.76	$48.46
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $22.95 / $42.45	Facility		$16.43	$22.95	$42.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $23.54 / $42.98	Professional		$16.43	$23.54	$42.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.56 / $9.22 / $12.58	Professional		$7.56	$9.22	$12.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $28.11 / $35.75	Facility		$23.63	$28.11	$35.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $19.03 / $19.64	Facility		$19.03	$19.03	$19.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $32.18 / $39.01	Professional		$22.17	$32.18	$39.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $27.05 / $36.94	Professional		$19.39	$27.05	$36.94
United Facility/Professional Professional Modifier Low / Median / High Price $19.69 / $29.03 / $47.43	Professional		$19.69	$29.03	$47.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.87 / $15.76 / $15.76	Professional		$11.87	$15.76	$15.76