Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.20 / $216.13 / $841.20	Facility		$16.20	$216.13	$841.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $16.20 / $41.36	Professional		$14.73	$16.20	$41.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.31 / $24.31 / $27.21	Professional		$24.31	$24.31	$27.21
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $31.63 / $100.00	Facility		$14.73	$31.63	$100.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $64.91	Professional		$14.73	$14.73	$64.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.90 / $13.90 / $14.73	Facility		$13.90	$13.90	$14.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $18.07	Professional		$14.73	$14.73	$18.07
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $21.75 / $40.93	Facility		$14.57	$21.75	$40.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $23.93 / $40.93	Professional		$14.73	$23.93	$40.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $16.18 / $16.20	Professional		$16.17	$16.18	$16.20
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $19.11 / $44.19	Facility		$14.70	$19.11	$44.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.19 / $16.19 / $16.19	Facility		$16.19	$16.19	$16.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $28.43	Professional		$16.19	$16.19	$28.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $14.73	Facility		$14.73	$14.73	$14.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.99 / $14.73 / $14.73	Professional		$13.99	$14.73	$14.73
United Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $14.73 / $17.68	Professional		$14.73	$14.73	$17.68