Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $37.40 / $51.41	Facility		$23.21	$37.40	$51.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $23.21 / $74.00	Professional		$18.01	$23.21	$74.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $29.79 / $29.79	Professional		$29.79	$29.79	$29.79
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.29 / $101.49 / $186.62	Facility		$36.29	$101.49	$186.62
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $38.43 / $351.00	Professional		$24.22	$38.43	$351.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $33.47 / $58.73	Professional		$19.64	$33.47	$58.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $16.73 / $23.48 / $43.20	Facility		$16.73	$23.48	$43.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $24.59 / $43.83	Professional		$16.57	$24.59	$43.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $11.07 / $15.10	Professional		$9.25	$11.07	$15.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $26.63 / $35.14 / $36.04	Facility		$26.63	$35.14	$36.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $24.01 / $24.22	Facility		$24.01	$24.01	$24.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $39.65 / $48.08	Professional		$27.23	$39.65	$48.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $32.57 / $43.99	Professional		$24.49	$32.57	$43.99
United Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $27.93 / $52.18	Professional		$21.20	$27.93	$52.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $18.62 / $18.62	Professional		$14.63	$18.62	$18.62