Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $61.77 / $92.01	Facility		$41.47	$61.77	$92.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $35.79 / $84.64	Professional		$22.63	$35.79	$84.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $34.20 / $41.81	Professional		$34.20	$34.20	$41.81
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $57.42 / $105.96 / $105.96	Facility		$57.42	$105.96	$105.96
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $65.83 / $243.64	Professional		$35.00	$65.83	$243.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $51.82 / $103.02	Professional		$29.04	$51.82	$103.02
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $27.73 / $51.96 / $86.88	Facility		$27.73	$51.96	$86.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $51.39 / $86.88	Professional		$26.60	$51.39	$86.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $29.18 / $58.18	Professional		$16.82	$29.18	$58.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $68.34 / $77.05	Facility		$46.23	$68.34	$77.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $51.64 / $51.64	Facility		$51.64	$51.64	$51.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $61.93 / $99.57	Professional		$38.52	$61.93	$99.57
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $57.42 / $80.84	Facility		$47.85	$57.42	$80.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $54.36 / $87.34	Professional		$34.82	$54.36	$87.34
United Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $62.14 / $111.03	Professional		$40.36	$62.14	$111.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $31.75 / $42.28	Professional		$24.52	$31.75	$42.28