Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.26 / $33.94 / $52.80	Professional		$23.26	$33.94	$52.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $83.90 / $155.94 / $155.94	Facility		$83.90	$155.94	$155.94
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $43.23 / $286.80	Professional		$30.60	$43.23	$286.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $51.58 / $114.27	Professional		$35.47	$51.58	$114.27
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $40.61 / $84.40	Facility		$31.62	$40.61	$84.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.61 / $76.14	Professional		$31.62	$40.61	$76.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $97.03 / $171.08	Professional		$17.62	$97.03	$171.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $77.01 / $89.59	Facility		$51.60	$77.01	$89.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $81.70 / $110.52	Professional		$29.72	$81.70	$110.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $29.91 / $35.02 / $43.23	Professional		$29.91	$35.02	$43.23
United Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $65.80 / $126.35	Professional		$39.50	$65.80	$126.35