Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $59.29 / $202.80	Facility		$29.34	$59.29	$202.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $29.34 / $96.00	Professional		$21.57	$29.34	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $33.50 / $40.27	Professional		$25.04	$33.50	$40.27
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $84.57 / $99.21	Facility		$42.58	$84.57	$99.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $45.68 / $250.96	Professional		$29.11	$45.68	$250.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $39.17 / $68.73	Professional		$23.66	$39.17	$68.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $28.55 / $53.16	Facility		$20.16	$28.55	$53.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $29.14 / $53.56	Professional		$20.16	$29.14	$53.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $13.13 / $16.14	Professional		$10.76	$13.13	$16.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $41.15 / $44.20	Facility		$30.87	$41.15	$44.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $28.54 / $28.54	Facility		$28.33	$28.54	$28.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $46.39 / $56.24	Professional		$31.86	$46.39	$56.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $38.74 / $52.09	Professional		$29.11	$38.74	$52.09
United Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $20.05 / $20.05	Facility		$20.05	$20.05	$20.05
United Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $34.10 / $62.27	Professional		$25.82	$34.10	$62.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $21.77 / $21.77	Professional		$17.11	$21.77	$21.77