Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.29 / $29.70 / $69.63	Facility		$20.29	$29.70	$69.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $41.08 / $80.59	Professional		$17.63	$41.08	$80.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.00 / $128.00 / $128.00	Professional	25	$128.00	$128.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.99 / $56.00 / $82.38	Professional		$38.99	$56.00	$82.38
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $90.29 / $90.29	Facility		$71.56	$90.29	$90.29
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $76.80 / $272.14	Professional		$28.00	$76.80	$272.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $43.89 / $104.58	Facility		$22.40	$43.89	$104.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $43.49 / $104.67	Professional		$20.80	$43.49	$104.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $53.04 / $94.71	Professional		$9.46	$53.04	$94.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $83.19 / $89.11	Facility		$45.77	$83.19	$89.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $60.04 / $111.59	Professional		$32.17	$60.04	$111.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $84.38 / $94.98	Facility		$76.73	$84.38	$94.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $51.63 / $101.01	Professional		$26.87	$51.63	$101.01
United Facility/Professional Professional Modifier Low / Median / High Price $44.36 / $69.86 / $122.54	Professional		$44.36	$69.86	$122.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.95 / $50.52	Professional		$18.14	$18.95	$50.52