Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.11 / $77.08 / $219.38	Facility		$38.11	$77.08	$219.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $31.83 / $55.68	Professional		$29.84	$31.83	$55.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.33 / $24.33 / $24.33	Professional		$24.33	$24.33	$24.33
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $66.54 / $167.53	Facility		$42.58	$66.54	$167.53
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $79.45 / $304.13	Professional		$36.50	$79.45	$304.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.51 / $83.03 / $112.64	Facility		$45.51	$83.03	$112.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $45.53 / $57.64	Professional		$21.84	$45.53	$57.64
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $52.39 / $123.74	Facility		$40.54	$52.39	$123.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $62.10 / $121.66	Professional		$40.54	$62.10	$121.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $40.54 / $85.16	Facility		$40.54	$40.54	$85.16
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.54 / $70.95 / $121.65	Facility		$40.54	$70.95	$121.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $50.69 / $61.23	Professional		$36.50	$50.69	$61.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $66.54 / $111.51	Facility		$42.58	$66.54	$111.51
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $78.79 / $94.43	Professional		$44.85	$78.79	$94.43
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $20.05 / $45.42	Professional		$17.03	$20.05	$45.42