Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $124.61 / $188.43	Facility		$80.88	$124.61	$188.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $73.56 / $147.66	Professional		$58.07	$73.56	$147.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.39 / $209.60 / $265.69	Professional	25	$12.39	$209.60	$265.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $127.76 / $138.12	Professional		$108.60	$127.76	$138.12
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $133.07 / $320.91 / $320.91	Facility		$133.07	$320.91	$320.91
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $92.34 / $151.69 / $454.95	Professional		$92.34	$151.69	$454.95
Asuris Northwest Health Facility/Professional Professional Modifier 25 Low / Median / High Price $88.80 / $122.92 / $153.65	Professional	25	$88.80	$122.92	$153.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.90 / $136.52 / $212.63	Professional		$75.90	$136.52	$212.63
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $130.29 / $181.06	Facility		$67.27	$130.29	$181.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $122.10 / $181.79	Professional		$65.41	$122.10	$181.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $106.95 / $185.15	Professional		$18.44	$106.95	$185.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $102.41 / $139.07 / $142.71	Facility		$102.41	$139.07	$142.71
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $96.94 / $96.94	Facility		$96.94	$96.94	$96.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $161.31 / $193.07	Professional		$98.52	$161.31	$193.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $136.38 / $184.46	Professional		$97.10	$136.38	$184.46
United Facility/Professional Professional Modifier Low / Median / High Price $76.67 / $115.10 / $208.52	Professional		$76.67	$115.10	$208.52
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $74.45 / $74.84	Professional		$58.80	$74.45	$74.84