Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $94.95 / $647.96	Facility		$41.68	$94.95	$647.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $35.96 / $61.69	Professional		$27.16	$35.96	$61.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $25.01 / $25.01	Professional		$25.01	$25.01	$25.01
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $71.64 / $187.90	Facility		$43.76	$71.64	$187.90
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $81.44 / $325.62	Professional		$35.43	$81.44	$325.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.31 / $85.33 / $121.91	Facility		$24.31	$85.33	$121.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $45.53 / $56.73	Professional		$21.98	$45.53	$56.73
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $52.10 / $123.74	Facility		$41.68	$52.10	$123.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $62.10 / $115.21	Professional		$41.68	$62.10	$115.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $40.81 / $75.00	Professional		$37.10	$40.81	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $41.68 / $87.53	Facility		$41.68	$41.68	$87.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $72.94 / $125.04	Facility		$41.68	$72.94	$125.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $37.51 / $37.51	Professional		$37.51	$37.51	$37.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.76 / $68.40 / $114.62	Facility		$43.76	$68.40	$114.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $80.81 / $96.75	Professional		$46.10	$80.81	$96.75
United Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $20.11 / $46.68	Professional		$17.51	$20.11	$46.68