Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $44.01 / $51.52	Facility		$28.46	$44.01	$51.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $30.13 / $55.45	Professional		$22.81	$30.13	$55.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $51.79 / $58.07	Professional		$35.00	$51.79	$58.07
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $115.03 / $115.03	Facility		$50.00	$115.03	$115.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $58.24 / $182.79	Professional		$34.35	$58.24	$182.79
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $31.84 / $46.08 / $63.48	Professional	25	$31.84	$46.08	$63.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $53.55 / $89.17	Professional		$29.90	$53.55	$89.17
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $26.60 / $50.60 / $72.48	Facility		$26.60	$50.60	$72.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $48.87 / $70.73	Professional		$25.76	$48.87	$70.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $53.71 / $92.91	Professional		$9.16	$53.71	$92.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $57.62 / $58.96	Facility		$38.68	$57.62	$58.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.96 / $38.96 / $38.96	Facility		$38.96	$38.96	$38.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $59.08 / $76.16	Professional		$39.47	$59.08	$76.16
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $50.90 / $70.38	Professional		$34.35	$50.90	$70.38
United Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $48.16 / $86.40	Professional		$31.04	$48.16	$86.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $26.65 / $31.39	Professional		$24.29	$26.65	$31.39