Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $29.82 / $49.88	Facility		$20.32	$29.82	$49.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $24.43 / $49.88	Professional		$13.89	$24.43	$49.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.78 / $73.78 / $73.78	Professional	50	$73.78	$73.78	$73.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $20.53 / $20.53	Professional		$19.43	$20.53	$20.53
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $173.24 / $383.35	Facility		$55.00	$173.24	$383.35
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $36.97 / $183.41	Professional		$19.63	$36.97	$183.41
Asuris Northwest Health Facility/Professional Professional Modifier 50 Low / Median / High Price $31.50 / $33.79 / $69.27	Professional	50	$31.50	$33.79	$69.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $26.97 / $58.68	Professional		$13.65	$26.97	$58.68
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $17.98 / $38.88 / $80.73	Facility		$17.98	$38.88	$80.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $33.64 / $70.03	Professional		$17.30	$33.64	$70.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $9.53 / $19.12	Professional		$0.67	$9.53	$19.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $37.40 / $58.96	Facility		$22.68	$37.40	$58.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $25.37 / $26.51	Facility		$25.37	$25.37	$26.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $28.78 / $47.51	Professional		$18.73	$28.78	$47.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $126.49 / $173.34 / $331.58	Facility		$126.49	$173.34	$331.58
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.22 / $45.47	Professional		$17.38	$27.22	$45.47
United Facility/Professional Facility Modifier Low / Median / High Price $157.00 / $546.00 / $5,793.00	Facility		$157.00	$546.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $40.20 / $57.84	Professional		$23.17	$40.20	$57.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.35 / $16.28 / $21.61	Professional		$11.35	$16.28	$21.61