Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $47.43 / $14,464.32	Facility		$23.57	$47.43	$14,464.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $20.67 / $48.72	Professional		$14.35	$20.67	$48.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $27.63 / $27.63	Professional		$27.63	$27.63	$27.63
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $72.68 / $11,500.00	Facility		$24.46	$72.68	$11,500.00
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $35.95 / $198.00	Professional		$22.18	$35.95	$198.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.60 / $29.57 / $51.67	Professional		$19.60	$29.57	$51.67
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $31.36 / $45.51	Facility		$22.17	$31.36	$45.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $34.17 / $48.42	Professional		$22.31	$34.17	$48.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $339.11 / $339.11 / $339.11	Professional		$339.11	$339.11	$339.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.62 / $34.35 / $36.85	Facility		$23.62	$34.35	$36.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $24.46 / $25.14	Facility		$24.46	$24.46	$25.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.96 / $37.28 / $47.10	Professional		$22.96	$37.28	$47.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $165.27 / $165.27 / $208.22	Facility		$165.27	$165.27	$208.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $31.56 / $44.65	Professional		$21.92	$31.56	$44.65
United Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $588.00 / $5,793.00	Facility		$140.00	$588.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $28.36 / $53.25	Professional		$22.26	$28.36	$53.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $19.69	Professional		$16.93	$16.93	$19.69