Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $110.44 / $398.80	Facility		$43.25	$110.44	$398.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.94 / $44.39 / $80.20	Professional		$35.94	$44.39	$80.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.65 / $74.65 / $74.65	Professional		$74.65	$74.65	$74.65
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $181.68 / $181.68	Facility		$55.30	$181.68	$181.68
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $95.78 / $350.85	Professional		$55.44	$95.78	$350.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $74.11 / $130.72	Professional		$42.11	$74.11	$130.72
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $85.20 / $117.28	Facility		$49.61	$85.20	$117.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $91.74 / $121.76	Professional		$44.55	$91.74	$121.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.20 / $54.87 / $92.91	Professional		$9.20	$54.87	$92.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $56.07 / $78.77 / $81.06	Facility		$56.07	$78.77	$81.06
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.36 / $54.36 / $55.30	Facility		$54.36	$54.36	$55.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $93.65 / $114.60	Professional		$62.46	$93.65	$114.60
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $55.44 / $55.44 / $55.44	Facility		$55.44	$55.44	$55.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $82.89 / $113.00	Professional		$55.44	$82.89	$113.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.31 / $118.60	Professional		$31.62	$44.31	$118.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $45.85	Professional		$45.85	$45.85	$45.85