Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.32 / $67.18 / $88.36	Facility		$50.32	$67.18	$88.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $42.64 / $76.17	Professional		$35.11	$42.64	$76.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.17 / $68.17 / $68.17	Professional		$68.17	$68.17	$68.17
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $117.37 / $208.63	Facility		$74.56	$117.37	$208.63
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $77.34 / $324.89	Professional		$45.98	$77.34	$324.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.18 / $69.28 / $116.26	Professional		$42.18	$69.28	$116.26
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $35.67 / $58.87 / $100.37	Facility		$35.67	$58.87	$100.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $55.92 / $96.26	Professional		$33.72	$55.92	$96.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.70 / $52.11 / $92.31	Professional		$9.70	$52.11	$92.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $49.67 / $74.19 / $79.06	Facility		$49.67	$74.19	$79.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $53.47 / $53.91	Facility		$53.47	$53.47	$53.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $85.06 / $106.13	Professional		$54.40	$85.06	$106.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $81.63 / $108.15 / $204.42	Facility		$81.63	$108.15	$204.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $75.59 / $101.32	Professional		$54.05	$75.59	$101.32
United Facility/Professional Professional Modifier Low / Median / High Price $49.56 / $68.44 / $115.06	Professional		$49.56	$68.44	$115.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.19 / $36.85 / $39.82	Professional		$31.19	$36.85	$39.82