Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $86.79 / $103.06	Facility		$41.73	$86.79	$103.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $60.77 / $131.00	Professional		$34.04	$60.77	$131.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.76 / $131.60 / $189.67	Professional	25	$41.76	$131.60	$189.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $81.50 / $94.86	Professional		$53.61	$81.50	$94.86
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $92.03 / $221.04	Facility		$50.74	$92.03	$221.04
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $6.89 / $22.10 / $22.10	Facility	AS	$6.89	$22.10	$22.10
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $96.77 / $350.74	Professional		$51.30	$96.77	$350.74
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $92.98 / $92.98 / $92.98	Professional	25	$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $78.31 / $132.43	Professional		$39.04	$78.31	$132.43
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $70.40 / $104.91	Facility		$34.40	$70.40	$104.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $75.19 / $110.29	Professional		$34.72	$75.19	$110.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $52.47 / $93.80	Professional		$9.98	$52.47	$93.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $55.37 / $74.80 / $98.49	Facility		$55.37	$74.80	$98.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $50.74 / $63.72	Facility		$50.74	$50.74	$63.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $105.72 / $133.34	Professional		$68.50	$105.72	$133.34
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $89.08 / $122.01	Professional		$51.30	$89.08	$122.01
United Facility/Professional Professional Modifier Low / Median / High Price $42.57 / $55.50 / $117.99	Professional		$42.57	$55.50	$117.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $40.31 / $50.94	Professional		$40.31	$40.31	$50.94