Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $51.35 / $60.41	Facility		$23.01	$51.35	$60.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $38.38 / $60.41	Professional		$16.39	$38.38	$60.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $68.02 / $75.94	Professional		$20.89	$68.02	$75.94
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $80.22 / $80.22	Facility		$53.00	$80.22	$80.22
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $21.71 / $48.93 / $251.37	Professional		$21.71	$48.93	$251.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $45.00 / $72.91	Professional		$28.61	$45.00	$72.91
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $38.13 / $66.23	Facility		$17.20	$38.13	$66.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $36.97 / $66.23	Professional		$17.20	$36.97	$66.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $47.67 / $88.68	Professional		$9.59	$47.67	$88.68
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.51 / $73.53 / $81.59	Facility		$35.51	$73.53	$81.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $51.64 / $98.32	Professional		$27.32	$51.64	$98.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $42.57 / $61.07	Professional		$21.96	$42.57	$61.07
United Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $63.96 / $116.70	Professional		$41.38	$63.96	$116.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.26 / $30.64 / $41.05	Professional		$17.26	$30.64	$41.05