Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $176.34 / $387.97	Facility		$55.62	$176.34	$387.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $22.92 / $89.94	Professional		$12.02	$22.92	$89.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $18.59 / $25.10	Professional		$13.60	$18.59	$25.10
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $173.34 / $2,922.50	Facility		$31.50	$173.34	$2,922.50
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $29.50 / $804.00	Professional		$15.54	$29.50	$804.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $49.74 / $60.33	Professional		$15.79	$49.74	$60.33
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $18.29 / $34.43 / $56.85	Facility		$18.29	$34.43	$56.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $30.26 / $49.38	Professional		$18.29	$30.26	$49.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.73 / $7.38 / $311.24	Professional		$0.73	$7.38	$311.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $31.35 / $39.29	Facility		$18.09	$31.35	$39.29
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $15.54 / $21.16	Facility		$15.54	$15.54	$21.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.54 / $15.54 / $15.54	Professional		$15.54	$15.54	$15.54
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 $14.32 / $21.28 / $30.53	Professional		$14.32	$21.28	$30.53
United Facility/Professional Facility Modifier Low / Median / High Price $295.00 / $648.00 / $6,216.00	Facility		$295.00	$648.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $23.15 / $34.93	Professional		$12.76	$23.15	$34.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $13.57 / $14.92	Professional		$13.57	$13.57	$14.92