Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $35.53 / $94.42	Facility		$15.65	$35.53	$94.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $15.65 / $37.09	Professional		$11.67	$15.65	$37.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $18.05 / $18.46	Professional		$18.05	$18.05	$18.46
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $75.00 / $125.14	Facility		$21.08	$75.00	$125.14
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $21.48 / $149.38	Professional		$18.00	$21.48	$149.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $16.29	Professional		$11.89	$11.89	$16.29
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $14.56 / $25.31 / $65.98	Facility		$14.56	$25.31	$65.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $25.31 / $49.65	Professional		$14.57	$25.31	$49.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.61 / $18.46 / $20.30	Professional		$16.61	$18.46	$20.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.11 / $23.34 / $24.07	Facility		$19.11	$23.34	$24.07
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $23.34 / $24.55	Professional		$20.46	$23.34	$24.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $27.04 / $47.02	Facility		$21.08	$27.04	$47.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $31.53	Professional		$19.98	$19.98	$31.53
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $23.51 / $23.51	Facility		$22.91	$23.51	$23.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $20.46 / $26.48	Professional		$19.13	$20.46	$26.48
United Facility/Professional Facility Modifier Low / Median / High Price $31.12 / $37.34 / $37.34	Facility		$31.12	$37.34	$37.34
United Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $17.47 / $22.22	Professional		$11.65	$17.47	$22.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.53 / $13.53 / $20.46	Professional		$13.53	$13.53	$20.46