Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $87.23 / $351.27	Facility		$63.59	$87.23	$351.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $54.47 / $95.05	Professional		$44.58	$54.47	$95.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.83 / $58.72 / $132.75	Professional		$44.83	$58.72	$132.75
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $108.15 / $255.38 / $524.74	Facility		$108.15	$255.38	$524.74
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $98.65 / $413.10	Professional		$58.26	$98.65	$413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $87.81 / $147.63	Professional		$53.35	$87.81	$147.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $44.74 / $74.56 / $126.82	Facility		$44.74	$74.56	$126.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $70.15 / $121.35	Professional		$42.75	$70.15	$121.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.70 / $51.75 / $92.31	Professional		$9.70	$51.75	$92.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $65.04 / $96.79 / $99.83	Facility		$65.04	$96.79	$99.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $68.09	Facility		$67.95	$67.95	$68.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $106.16 / $135.16	Professional		$68.09	$106.16	$135.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $189.32 / $274.16 / $524.74	Facility		$189.32	$274.16	$524.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $95.60 / $129.03	Professional		$67.91	$95.60	$129.03
United Facility/Professional Professional Modifier Low / Median / High Price $61.32 / $84.68 / $144.54	Professional		$61.32	$84.68	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $48.20 / $52.25	Professional		$40.86	$48.20	$52.25