Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $67.79 / $93.25	Professional		$46.96	$67.79	$93.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $83.02 / $83.02	Professional		$83.02	$83.02	$83.02
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $139.69 / $311.83 / $311.83	Facility		$139.69	$311.83	$311.83
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $82.17 / $575.54	Professional		$61.38	$82.17	$575.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $96.58 / $227.85	Professional		$69.64	$96.58	$227.85
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $63.55 / $76.53 / $145.80	Facility		$63.55	$76.53	$145.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $78.43 / $148.62	Professional		$63.55	$78.43	$148.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $97.03 / $171.08	Professional		$17.68	$97.03	$171.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $98.49 / $142.81 / $169.51	Facility		$98.49	$142.81	$169.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.72 / $163.41 / $206.92	Professional		$59.72	$163.41	$206.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $60.11 / $70.04 / $83.49	Professional		$60.11	$70.04	$83.49
United Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $122.50 / $238.88	Professional		$46.50	$122.50	$238.88