Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.25 / $95.13 / $397.02	Facility		$39.25	$95.13	$397.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $39.25 / $66.53	Professional		$32.29	$39.25	$66.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Professional		$25.06	$25.06	$25.06
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.85 / $73.08 / $199.32	Facility		$43.85	$73.08	$199.32
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $87.01 / $343.25	Professional		$37.58	$87.01	$343.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $85.49 / $134.04	Facility		$28.91	$85.49	$134.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.02 / $47.00 / $57.18	Professional		$26.02	$47.00	$57.18
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $61.39 / $128.78	Facility		$41.76	$61.39	$128.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $73.80 / $128.78	Professional		$41.76	$73.80	$128.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $40.88 / $75.00	Professional		$37.17	$40.88	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $41.76 / $87.70	Facility		$41.76	$41.76	$87.70
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.76 / $73.08 / $125.28	Facility		$41.76	$73.08	$125.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.58 / $37.58 / $37.58	Professional		$37.58	$37.58	$37.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.85 / $68.90 / $114.84	Facility		$43.85	$68.90	$114.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $81.31 / $96.75	Professional		$48.69	$81.31	$96.75
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $23.89 / $50.11	Professional		$17.54	$23.89	$50.11