Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.31 / $30.31 / $35.61	Facility		$30.31	$30.31	$35.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $35.61 / $55.43	Professional		$30.03	$35.61	$55.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $7.50 / $7.50	Professional		$7.50	$7.50	$7.50
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $47.43 / $137.21 / $137.21	Facility		$47.43	$137.21	$137.21
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $67.51 / $225.68	Professional		$37.19	$67.51	$225.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $31.06	Professional		$28.57	$28.57	$31.06
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $48.87 / $76.78	Facility		$24.38	$48.87	$76.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $45.57 / $74.84	Professional		$24.38	$45.57	$74.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $54.63 / $96.19	Professional		$9.33	$54.63	$96.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.65 / $57.62 / $63.65	Facility		$41.65	$57.62	$63.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $49.99 / $56.04	Facility		$42.58	$49.99	$56.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.42 / $63.80 / $82.36	Professional		$43.42	$63.80	$82.36
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $47.43 / $66.40	Facility		$39.53	$47.43	$66.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.42 / $54.15 / $76.75	Professional		$37.42	$54.15	$76.75
United Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $51.52 / $91.71	Professional		$32.60	$51.52	$91.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $26.50 / $35.19	Professional		$26.50	$26.50	$35.19