Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.80 / $262.00 / $346.72	Facility		$219.80	$262.00	$346.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.69 / $16.71 / $57.60	Professional		$3.69	$16.71	$57.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $23.59 / $31.28	Professional		$14.29	$23.59	$31.28
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $75.00 / $80.48	Facility		$22.20	$75.00	$80.48
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $2.27 / $3.03 / $7.27	Facility	AS	$2.27	$3.03	$7.27
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $38.60 / $136.80	Professional		$18.75	$38.60	$136.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $14.28 / $14.28	Professional		$14.28	$14.28	$14.28
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.84 / $19.88 / $37.49	Facility		$14.84	$19.88	$37.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $19.88 / $35.52	Professional		$14.84	$19.88	$35.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $80.00	Professional		$75.00	$75.00	$80.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $31.56 / $32.83	Facility		$21.10	$31.56	$32.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $22.20 / $22.39	Facility		$22.20	$22.20	$22.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $34.77 / $44.45	Professional		$22.83	$34.77	$44.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.22 / $32.21 / $43.39	Professional		$21.22	$32.21	$43.39
United Facility/Professional Professional Modifier Low / Median / High Price $21.41 / $28.42 / $49.56	Professional		$21.41	$28.42	$49.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $13.25 / $15.64	Professional		$13.25	$13.25	$15.64