Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $68.09 / $71.09	Facility		$30.00	$68.09	$71.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $51.90	Professional		$30.00	$30.00	$51.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $38.04 / $38.04	Professional		$38.04	$38.04	$38.04
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $36.93 / $57.24 / $178.03	Facility		$36.93	$57.24	$178.03
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $32.33 / $276.98	Professional		$32.33	$32.33	$276.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $52.30	Facility		$38.04	$38.04	$52.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $43.75 / $99.71	Professional		$38.04	$43.75	$99.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.00 / $85.00	Professional		$45.00	$50.00	$85.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.93 / $38.04 / $43.75	Facility		$36.93	$38.04	$43.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.16 / $66.47 / $96.02	Facility		$46.16	$66.47	$96.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Professional		$55.00	$55.00	$55.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $36.93 / $36.93 / $36.93	Facility		$36.93	$36.93	$36.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $32.33 / $38.04	Professional		$30.71	$32.33	$38.04
United Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.82 / $36.93	Professional		$22.16	$22.82	$36.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $32.33 / $32.33 / $41.29	Professional		$32.33	$32.33	$41.29