Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.08 / $23.52 / $33.85	Facility		$14.08	$23.52	$33.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $14.08 / $32.33	Professional		$7.98	$14.08	$32.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $17.66 / $17.66	Professional		$17.66	$17.66	$17.66
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $39.40 / $93.83 / $95.00	Facility		$39.40	$93.83	$95.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.50 / $40.76 / $120.73	Professional		$14.50	$40.76	$120.73
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $25.97 / $32.46 / $44.73	Professional	25	$25.97	$32.46	$44.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $21.61 / $63.41	Professional		$10.09	$21.61	$63.41
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $8.76 / $18.41 / $43.20	Facility		$8.76	$18.41	$43.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $18.41 / $45.32	Professional		$8.76	$18.41	$45.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $53.92 / $95.35	Professional		$9.39	$53.92	$95.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.25 / $34.09 / $41.54	Facility		$14.25	$34.09	$41.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $13.59 / $13.59	Facility		$13.59	$13.59	$13.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $41.90 / $56.24	Professional		$25.29	$41.90	$56.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $32.96 / $48.61	Professional		$13.74	$32.96	$48.61
United Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $16.95 / $53.21	Professional		$10.26	$16.95	$53.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $24.35 / $24.35	Professional		$17.11	$24.35	$24.35